Basic Information
| Provider Information | |||||||||
| NPI: | 1427409234 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | FUH | ||||||||
| FirstName: | JENNIFER | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5767 W CENTURY BLVD STE 400 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900455631 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1187 COAST VILLAGE RD STE 10B | ||||||||
| Address2: | |||||||||
| City: | MONTECITO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931082764 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8055650020 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2016 | ||||||||
| LastUpdateDate: | 10/27/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 18989 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 390200000X | NM | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207RE0101X | 18989 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
No ID Information.