Provider Demographics
NPI:1245556356
Name:SIGNOFF, JESSICA KIM (MD)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:KIM
Last Name:SIGNOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:SANNA
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2516 STOCKTON BLVD
Mailing Address - Street 2:TICON II
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2208
Mailing Address - Country:US
Mailing Address - Phone:916-734-7840
Mailing Address - Fax:916-456-2235
Practice Address - Street 1:2516 STOCKTON BLVD
Practice Address - Street 2:TICON II
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2208
Practice Address - Country:US
Practice Address - Phone:916-734-7840
Practice Address - Fax:916-456-2235
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1434712080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine