Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEANETTE MARIE BLACK, M.D.
Active Sole ProprietorProcedural Dermatology · LOS ANGELES, CA
Registration Details
- NPI Number
- 1497070510
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2010 (16.059279405247 yrs)
- Last Updated
- Jun 23, 2017
- License
-
A136731 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9201 W SUNSET BLVDSUITE 602LOS ANGELES, CA, 900693701Browse CA providers · Browse ZIP 90069
- Phone
- 3102460495
- Fax
- 3102460496
- Primary Specialty
-
Procedural Dermatology
207NS0135X
Other Procedural Dermatology Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| REBECCA LOUIS FITZGERALD | M.D. | 1285690321 |
| DR. BRIAN E DUBOW | M.D. | 1225140569 |
| MICHELLE H. LEE | M.D. | 1942305487 |
| LEONARD H KIM | MD | 1023183258 |
| HARVEY ABRAMS | M.D. | 1992867758 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.