Provider Demographics
NPI:1578350781
Name:RANES, JENNIFER MARIE CATHERINE (MD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MARIE CATHERINE
Last Name:RANES
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:ST. MARY MEDICAL CENTER - GRADUATE MEDICAL EDUCATION
Mailing Address - Street 2:1050 LINDEN AVE.
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813
Mailing Address - Country:US
Mailing Address - Phone:562-491-9140
Mailing Address - Fax:562-491-9146
Practice Address - Street 1:ST. MARY MEDICAL CENTER
Practice Address - Street 2:1050 LINDEN AVE.
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813
Practice Address - Country:US
Practice Address - Phone:562-491-9140
Practice Address - Fax:562-491-9146
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program