Individual
DR. JEFFREY HENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 SAN PABLO ST, SUITE 1000, LOS ANGELES, CA 90033-5310
(626) 457-5839
Mailing address
PO BOX 31218, LOS ANGELES, CA 90031-0218
(626) 457-5839
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G57286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G572860
BLUE SHIELD
CA
Enumeration date
06/08/2006
Last updated
01/25/2013
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