Individual
DR. MARK EVAN JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9201 W SUNSET BLVD, SUITE #718, WEST HOLLYWOOD, CA 90069-3701
(310) 486-7554
(310) 826-1163
Mailing address
PO BOX 49658, LOS ANGELES, CA 90049-0658
(310) 486-7554
(310) 826-1163
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
G75071
CA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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