Individual
JITIN MAKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-1029
(310) 267-2680
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8771
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A159942
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2016
Last updated
07/25/2022
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