Jennifer Yuumi Burgoyne, PA-C
Physician Assistant in Riverside, CA. Individual provider (NPI-1).
NPI number1548037880
StatusActive
Last updated in NPPESDec 6, 2023
Details
- NPI
- 1548037880
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Yuumi Burgoyne
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2023
- Certification date
- Dec 6, 2023
- Last updated
- Dec 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | CA | Yes |
Practice location
8432 Magnolia AveRiverside, CA 92504-3206
Phone 800-782-3382
Mailing address
8432 Magnolia AveRiverside, CA 92504-3206
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