Individual
DR. JEDD LYN TICAR ROESSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303 LOMA DR STE 202, LOS ANGELES, CA 90017-1103
(213) 858-5126
(213) 858-5154
Mailing address
950 S GRAND AVE FL 2, LOS ANGELES, CA 90015-3999
(323) 669-4346
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A159778
CA
Other
Enumeration date
03/23/2016
Last updated
03/15/2021
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