Individual
DR. JAMES EDWARD JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18360 BURBANK BLVD, TARZANA, CA 91356-2805
(818) 774-9080
(818) 774-9135
Mailing address
1516 COTNER AVE, LOS ANGELES, CA 90025-3303
(310) 445-2951
(310) 479-1459
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
C34888
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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