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Jennifer Rubalcaba

Student in an Organized Health Care Education/Training Program in San Diego, CA. Individual provider (NPI-1).

NPI number1033780929
StatusActive
Last updated in NPPESJul 2, 2021

Details

NPI
1033780929
Entity type
Individual (NPI-1)
Name
Jennifer Rubalcaba
Sex
Female
Sole proprietor
No
Enumeration date
Jul 2, 2021
Certification date
Jun 25, 2021
Last updated
Jul 2, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1963 4th Ave
San Diego, CA 92101-2394

Phone 619-233-3432

Mailing address

1963 4th Ave
San Diego, CA 92101-2394

Phone 619-233-3432

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in San Diego, CA

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