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Individual

JEAN DEKERNION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10833 LE CONTE AVE., LOS ANGELES, CA 90095-3075
(310) 794-7700
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 794-7700

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C35223
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C352230
CA
Enumeration date
07/13/2006
Last updated
05/20/2010
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