Provider Demographics
NPI:1003304031
Name:GOLDEN, JENNIFER MARIE HUGHES (DO)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MARIE HUGHES
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1045 TURQUOISE ST APT B
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-1211
Mailing Address - Country:US
Mailing Address - Phone:408-499-6403
Mailing Address - Fax:
Practice Address - Street 1:1130 2ND ST
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5008
Practice Address - Country:US
Practice Address - Phone:760-736-6767
Practice Address - Fax:760-753-7259
Is Sole Proprietor?:No
Enumeration Date:2018-04-25
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A17692207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine