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Individual

DR. JAKUN WILLARD ING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H.

Contact information

Practice address
757 WESTWOOD PLZ, SUITE 3325, LOS ANGELES, CA 90095-7403
(310) 267-8626
(310) 267-3899
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
A113587
CA
208VP0000X
Pain Medicine Physician
Primary
A113587
CA

Other

Enumeration date
04/16/2009
Last updated
08/26/2024
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