Individual
JENNIE YOKO KAGEYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
200 STEIN PLAZA, LOS ANGELES, CA 90095-7065
(310) 825-5000
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11155
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0111550
—
CA
Enumeration date
07/26/2006
Last updated
01/30/2025
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