Individual
COURTNEY JANE HENTZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12401 WASHINGTON BLVD, WHITTIER, CA 90602-1006
(562) 698-0811
Mailing address
12401 WASHINGTON BLVD, WHITTIER, CA 90602-1006
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301107239
MI
207P00000X
Emergency Medicine Physician
Primary
A159537
CA
Other
Enumeration date
05/08/2015
Last updated
06/26/2019
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