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Organization
JENNIFER MICHAEL MD, A MEDICAL CORPORATION
Active
Organization
JENNIFER MICHAEL MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER MICHAEL MD (OWNER)
(610) 517-4281
Entity
Organization
Contact information
Practice address
2219 S BENTLEY AVE APT 104, LOS ANGELES, CA 90064-1909
(610) 517-4281
Mailing address
PO BOX 643184, LOS ANGELES, CA 90064-8433
(610) 517-4281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
CA
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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