Individual
MR. JACOB LAWRANCE HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-4228
(310) 301-6800
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
95018746
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95018746
CA
Other
Enumeration date
02/02/2023
Last updated
09/12/2023
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