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Individual

DR. JENNIFER LYNN KRUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
300 UCLA MEDICAL PLZ STE 2200, LOS ANGELES, CA 90095-6968
(310) 825-9989
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
106789
MN
2084P0800X
Psychiatry Physician
56965
MN
2084P0800X
Psychiatry Physician
Primary
A113860
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114154831
CA
05
ENROLLED
MN
Enumeration date
06/19/2009
Last updated
07/16/2024
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