Basic Information
| Provider Information | |||||||||
| NPI: | 1356599310 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VELTMAN | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11234 ANDERSON ST # MC-1516 | ||||||||
| Address2: | |||||||||
| City: | LOMA LINDA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 923542804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3137454525 | ||||||||
| FaxNumber: | 3135773777 | ||||||||
| Practice Location | |||||||||
| Address1: | 11234 ANDERSON ST # MC-1516 | ||||||||
| Address2: | |||||||||
| City: | LOMA LINDA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 923542804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9095584499 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/03/2008 | ||||||||
| LastUpdateDate: | 06/26/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | 4301092896 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | 207R00000X | 4301092896 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | A121822 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | 4301092896 | MI | N | Allopathic & Osteopathic Physicians | Pediatrics | 207RI0200X | A121822 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.