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Individual

ANDREW ROBERT JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1225 15TH ST STE 2100, SANTA MONICA, CA 90404-1101
(310) 319-1234
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1417393689
CA
207X00000X
Orthopaedic Surgery Physician
65735
MN
207X00000X
Orthopaedic Surgery Physician
Primary
A133993
CA

Other

Enumeration date
05/01/2013
Last updated
10/09/2020
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