Individual
DENISE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4235 PACIFIC COAST HWY, TORRANCE, CA 90505-5525
(310) 373-6847
Mailing address
4235 PACIFIC COAST HWY, TORRANCE, CA 90505-5525
(310) 373-6847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95021169
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363LF0000X
—
CA
Enumeration date
06/06/2021
Last updated
09/26/2022
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