Individual
DR. RONALD JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 432-5185
Mailing address
5943 OCEAN TERRACE DR, RANCHO PALOS VERDES, CA 90275-5756
(310) 668-4213
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G29488
CA
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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