Dekernion, Jean
Dekernion, Jean is an individual health care provider with primary practice located at 10833 Le Conte Ave. , Los Angeles CA 90095-3075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Dekernion, Jean can be contacted via phone (310) 794-7700.Contact Information
Primary practice address
10833 Le Conte Ave.
Los Angeles CA 90095-3075
Phone: (310) 794-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | C35223 | California |
Profile Details
| NPI number | 1871518613 |
|---|---|
| LBN Legal business name | Dekernion, Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | May 20th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871518613 | NPPES |
| California | MEDICAID | 00C352230 |
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