Provider Demographics
NPI:1750395950
Name:LUFT, JENNIFER GERMAIN (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:GERMAIN
Last Name:LUFT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6535 ALVARADO RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-5002
Mailing Address - Country:US
Mailing Address - Phone:858-279-0140
Mailing Address - Fax:
Practice Address - Street 1:6535 ALVARADO RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-5002
Practice Address - Country:US
Practice Address - Phone:619-229-3700
Practice Address - Fax:619-229-1715
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA803192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry