| Jennifer Michael Md, A Medical Corporation | |
|
2219 S Bentley Ave Apt 104 Los Angeles CA 90064-1909 | |
| (610) 517-4281 | |
| Not Available |
| Full Name | Jennifer Michael Md, A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 2219 S Bentley Ave Apt 104, Los Angeles, California |
| Authorized Official Name and Position | Jennifer Michael (OWNER) |
| Authorized Official Contact | 6105174281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Michael Md, A Medical Corporation Po Box 643184 Los Angeles CA 90064-8433 Ph: (610) 517-4281 | Jennifer Michael Md, A Medical Corporation 2219 S Bentley Ave Apt 104 Los Angeles CA 90064-1909 Ph: (610) 517-4281 |
| NPI Number | 1265936389 |
|---|---|
| Provider Enumeration Date | 03/22/2018 |
| Last Update Date | 03/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265936389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (California) | Primary |
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