Doctor Name: | CHRISTOPHER JENSEN |
NPI Number: | 1255536140 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | |
Business Practice Address: | 4361 Railroad Ave Pleasanton, CA - 945666611 |
Business Phone Number: | 9254621755 |
Business Fax Number: | |
Mailing Address: | 837 York St, OAKLAND |
State: | CA |
Postal Code: | 946102122 |
Phone Number: | 9254571657 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2007 |
NPI Last Update Date: | 02/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |