Provider Demographics
NPI:1164919791
Name:BATTAGLIA, JANINE MARIE
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:MARIE
Last Name:BATTAGLIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27549 SWALLOW CT
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-6159
Mailing Address - Country:US
Mailing Address - Phone:509-990-1984
Mailing Address - Fax:
Practice Address - Street 1:SCRIPPS HEALTH EXPRESS
Practice Address - Street 2:4350 LA JOLLA VILLLAGE DRIVE STE 130
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122
Practice Address - Country:US
Practice Address - Phone:858-678-6781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-19
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95008904363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily