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Individual

DR. JESUS C ASENIERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5953 ATLANTIC BLVD, MAYWOOD, CA 90270-3133
(323) 562-6170
(323) 562-6177
Mailing address
5953 ATLANTIC BLVD, MAYWOOD, CA 90270-3133
(323) 562-6170
(323) 562-6177

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A42705
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A427050
CA
Enumeration date
05/05/2006
Last updated
02/13/2017
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