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Jennifer Christine Giboney

Pediatrics

Allopathic & Osteopathic Physicians

3020 Childrens Way, San Diego, CA 92123-4223

PECOS Enrollment

This provider is enrolled in PECOS as JENNIFER GIBONEY.

Based on the most recent information from CMS, provider Jennifer Christine Giboney is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1275895849
Provider Type
Individual
Full Name
Giboney, Jennifer Christine
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
6/11/2012
Last Updated
1/23/2017

Contact Information

Practice Location

3020 Childrens Way, San Diego, CA 92123-4223

(858) 966-8036

Unlisted Fax

Mailing Location

3020 Childrens Way, Mc5075, San Diego, CA 92123-4223

(858) 966-8036

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A130768 California

Jennifer Christine Giboney

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Sheth, Sarika K.

Durocher, Marc Alain

Berent, Michael D.

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Mendes, Chantal Marie

Colina, Kenneth F

Manriquez-Castillo, Erendira

Leek, Kimberly B