Individual
EMILY JANINE HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5874
(310) 423-0139
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
(562) 760-3177
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
3400
CT
363AS0400X
Surgical Physician Assistant
Primary
PA52635
CA
Other
Enumeration date
08/09/2015
Last updated
12/02/2019
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