Jennifer Surjue-Bowens

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

901 N PCH Hwy Ste 200A204A
Redondo Beach, CA 90277-2162

Phone

(310) 316-1600

Fax

(310) 316-4200

NPI assigned

Jan 28, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1760713812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N PCH HWY # 200A204A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772162",
            "telephone_number": "310-316-1600",
            "fax_number": "310-316-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N PCH HWY STE 200A204A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772162",
            "telephone_number": "310-316-1600",
            "fax_number": "310-316-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURJUE-BOWENS",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "106H00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Sunderson, M.D.
• Carol Sung Shiue
• Sunny Bay Pharmacy
• Surgical Evolution, Inc.
• Natha Surinsuk, L.AC.
• Traci Sutton, LCSW
• Alyssa Naomi Suzuki, OTR/L
• Nancy Anne Svetlecic, MA, LMFT
• Sean Galt Swearingen, MD
• Maureen M Swenson, M.D.

• Mental Health Counselor in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.