JON A DETTERICH

LOS ANGELES, CA
NPI1659518884
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207PP0204X Emergency Medicine, Pediatric Emergency Medicine
(Licence: CA  A89834)
Enumeration Date2009-01-09
Last Update Date2009-01-09
Business Address
-- JON A DETTERICH MD
4650 W SUNSET BLVD MS #113
LOS ANGELES, CA 90027-6062
Phone number: 323-361-2109
Mailing Address
-- JON A DETTERICH MD
6430 W SUNSET BLVD SUITE 600
LOS ANGELES, CA 90028-7901
Phone number: 232-361-2337