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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JON A DETTERICH, MD

Active

JON A DETTERICH, MD is a Pediatric Emergency Medicine healthcare provider located in LOS ANGELES, California. NPI 1659518884 is currently active in the NPPES registry. Verify at CMS.

Pediatric Emergency Medicine · LOS ANGELES, CA

Registration Details

NPI Number
1659518884
Provider Type
Individual
Gender
Male
NPI Issued
Jan 9, 2009 (17.407670725856 yrs)
Last Updated
Jan 9, 2009
License
A89834 (CA)

Practice Information

Address
4650 W SUNSET BLVD
MS #113
LOS ANGELES, CA, 900276062
Browse CA providers · Browse ZIP 90027
Phone
3233612109
Primary Specialty
Pediatric Emergency Medicine
207PP0204X

Other Pediatric Emergency Medicine Providers in LOS ANGELES, CA

Name Credential NPI
DR. ISAAC ENRIQUE JAKUBOWICZ M.D., M.P.H. 1972605988
MARIE WATERHOUSE MD 1417103177
DR. DANIELLE L LEVITT M.D. 1336406974
PRIYA TANNA MD 1578821922
DR. BRADLEY SAMUEL GOLDBERG M.D. 1164765244
DR. PRADIP CHAUDHARI M.D. 1831536499
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.