Individual
JENNIFER MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4618 FOUNTAIN AVE, LOS ANGELES, CA 90029-1830
(323) 953-7170
Mailing address
950 S GRAND AVE FL 2, LOS ANGELES, CA 90015-3999
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A153929
CA
Other
Enumeration date
01/18/2017
Last updated
12/08/2020
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