Individual
DR. JAY ARTHUR JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 SANTA MONICA BLVD, SUITE 790W, SANTA MONICA, CA 90404-2102
(310) 829-7824
(310) 453-6541
Mailing address
2001 SANTA MONICA BLVD, SUITE 790W, SANTA MONICA, CA 90404-2102
(310) 829-7824
(310) 453-6541
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G046893
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G046893
LICENSE NUMBER
CA
Enumeration date
11/20/2006
Last updated
07/08/2007
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