Individual
JESSICA LANGE OSTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017
(213) 977-2121
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 409-6667
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A111280
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/29/2008
Last updated
12/19/2018
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