Individual
JENNIFER MANEGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 UCLA MEDICAL PLZ STE 2200, LOS ANGELES, CA 90095-5055
(310) 825-9989
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A166975
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A166975
CA
Other
Enumeration date
03/26/2018
Last updated
01/30/2025
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