Individual
CHRYSTINA ANN JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
757 WESTWOOD PLZ STE 3325, LOS ANGELES, CA 90095-2200
(310) 267-8626
(310) 267-3899
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A122819
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A122819
CA
Other
Enumeration date
04/20/2011
Last updated
11/01/2024
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