Individual
DR. JESSICA KELLY STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-0001
(310) 301-6800
(310) 794-9035
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-5138
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2014-02556
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/25/2011
Last updated
05/12/2021
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