Individual
JENNY TZU-I MAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, #365,420,530,120, LOS ANGELES, CA 90095
(310) 794-9718
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 301-8708
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G76062
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G760620
—
CA
Enumeration date
07/19/2006
Last updated
04/06/2009
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