Gary L Jensen in Los Angeles - Diagnostic Radiology

Gary L Jensen - NPI 1558304139

Gary L Jensen is a Diagnostic Radiology in Los Angeles, California. Gary L Jensen practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Gary L Jensen is 1558304139. The last update date is 2007-07-08.

Gary L Jensen's current location address is Po Box 480033, Los Angeles, California. You can contact this provider via phone number 9094500393 and fax number 9094500394. The mailing address for Gary L Jensen is Po Box 480033, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary L Jensen
Address Po Box 480033, Los Angeles, California
Phone Number 9094500393
Fax Number 9094500394
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1558304139
Provider Enumeration Date 2006-06-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 480033
City Los Angeles
State California (CA)
Post Code 900481033
Phone Number 9094500393
Fax Number 9094500394

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No A43613
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A436130 CA --
00A436130 CA BLUE SHIELD OF CA

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FAQs about Gary L Jensen

What is the unique 10-digit identifier code issued to Gary L Jensen by the Centers for Medicare & Medicaid Services?

The Gary L Jensen has been assigned the NPI (National Provider Identifier) 1558304139 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Gary L Jensen's facilities are situated?

The facilities of Gary L Jensen are physically located at the following address: Po Box 480033, Los Angeles, CA, 900481033.

What is Gary L Jensen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gary L Jensen is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.

When did Gary L Jensen receive its 1558304139 assignment?

The Gary L Jensen was assigned its 1558304139 on 2006-06-13, which is the date when this unique identifier was issued to the organization.

When was the Gary L Jensen's information last updated?

The Gary L Jensen's information was last updated on 2007-07-08.

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