Organization
SHIRLENE JAY, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAVENA ORTEGA (OFFICE REP)
(310) 729-7136
Entity
Organization
Contact information
Practice address
3400 LOMITA BLVD, STE 104, TORRANCE, CA 90505-4909
(310) 257-1988
Mailing address
3400 LOMITA BLVD, STE 104, TORRANCE, CA 90505-4909
(310) 257-1988
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G83142
CA
Other
Enumeration date
09/11/2007
Last updated
04/10/2008
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