Search › California › 103TC0700X
Jenna Mogannam, PHD
NPI 1215644463 · on the registry since 2022
Practice
- Address
- 116 E 25th Ave Ste C
San Mateo, CA 94403 - Phone
- (415) 238-8513
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California