Dr. Jenny Ahmed Abouelsood, M.D.
Family Medicine in Fontana, CA. Individual provider (NPI-1).
NPI number1457638512
StatusActive
Last updated in NPPESDec 14, 2021
Details
- NPI
- 1457638512
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jenny Ahmed Abouelsood
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2011
- Certification date
- Dec 14, 2021
- Last updated
- Dec 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A123417 | CA | Yes |
Other names
- Jeanny Ahmed Abouelsood (Professional Name)
Practice location
9961 Sierra AveKaiser Permanente - Department Of Family Medicine
Fontana, CA 92335-6720
Phone 909-427-4000
Mailing address
9961 Sierra AvenueKaiser Permanente - Department Of Family Medicine
Fontana, CA 92335
Phone 909-427-4000
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