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Search › California › 1835P0018X

Jina Dettman

NPI 1538781505 · on the registry since 2020 · sole proprietor

Practice

Address
1550 W Manchester Ave
Los Angeles, CA 90047
Phone
(323) 565-3101
Fax
(323) 565-3100
Organisation at this address
Kaiser Foundation Health Plan Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California