Individual
JESSICA SHETH BHUTADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD # 54, LOS ANGELES, CA 90027-6062
(323) 361-4151
Mailing address
4650 W SUNSET BLVD # 54, LOS ANGELES, CA 90027-6062
(323) 361-4151
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A154862
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2015
Last updated
05/10/2019
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