# VIOLETA M DE JESUS MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114249620
- **Authorized official:** DR. VIOLETA M DE JESUS MD (PRACTITIONER)
- **Authorized official phone:** (714) 948-0746

## Contact information

- **Practice address:** 2011 WILSHIRE BLVD, LOS ANGELES, CA 90057-3503
- **Practice address phone:** (213) 484-4444
- **Mailing address:** 2011 WILSHIRE BLVD, LOS ANGELES, CA 90057-3503
- **Mailing address phone:** (213) 484-4444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | A48057 | CA | Yes |

## Other

- **Enumeration date:** 02/25/2010
- **Last updated:** 01/11/2016
