Provider Demographics
NPI:1740665694
Name:GOKA, JENNIFER MICHELLE (PA-C)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MICHELLE
Last Name:GOKA
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:9300 CAMPUS POINT DR # MC7892
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1300
Mailing Address - Country:US
Mailing Address - Phone:619-471-3812
Mailing Address - Fax:
Practice Address - Street 1:9300 CAMPUS POINT DR # MC7892
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1300
Practice Address - Country:US
Practice Address - Phone:619-471-3812
Practice Address - Fax:858-246-1351
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-21
Last Update Date:2023-01-28
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Provider Licenses
StateLicense IDTaxonomies
CA54239363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical