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Organization
RICK JENKINS, M.D. INC
Active
Organization
RICK JENKINS, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK L JENKINS M.D. (OWNER)
(310) 552-0146
Entity
Organization
Contact information
Practice address
1703 TERMINO AVE, STE.110, LONG BEACH, CA 90804-2124
(310) 552-0146
(310) 552-0185
Mailing address
1703 TERMINO AVE, STE.110, LONG BEACH, CA 90804-2124
(310) 552-0146
(310) 552-0185
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G69736
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G697360
—
CA
Enumeration date
08/29/2012
Last updated
04/18/2016
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