Individual
KIRSTEN ELIZABETH JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 MEDICAL PLZ, STE 430, LOS ANGELES, CA 90095-0001
(310) 794-7274
Mailing address
5767 W CENTURY BLVD, STE 400, LOS ANGELES, CA 90045-5631
(310) 794-7274
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A100156
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1001560
—
CA
Enumeration date
09/22/2008
Last updated
12/29/2020
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