Individual
MAXINE S JOCHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8750 WILSHIRE BLVD STE 100, BEVERLY HILLS, CA 90211-2708
(310) 689-3100
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2190
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G37530
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G375300
BLUE SHIELD
CA
05
—
00G375300
—
CA
Enumeration date
05/26/2006
Last updated
10/23/2024
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