Individual
JEAN CLAUDE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 S EUCLID AVE, PASADENA, CA 91106-3732
(626) 272-7411
Mailing address
655 S EUCLID AVE, PASADENA, CA 91106-3732
(909) 338-9880
(909) 338-9883
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A36648
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOA36648O
—
CA
Enumeration date
10/03/2006
Last updated
02/28/2019
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