Mark Evan Jaffe M.D.

NPI 1477763472 - Psychiatry & Neurology - 2084F0202X

NPI Details
NPI 1477763472
Gender Male
Enumeration Date 05/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
9201 W SUNSET BLVD
SUITE #718
WEST HOLLYWOOD CA, 90069-3701, US
Phone (310) 486-7554
Fax (310) 826-1163
Business Location
PO BOX 49658
LOS ANGELES CA, 90049-0658, US
Phone (310) 486-7554
Fax (310) 826-1163
Toxanomy
Taxonomy Code 2084F0202X
License State California
License Number G75071
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According to our database, Dr. Mark Evan Jaffe M.D. NPI is 1477763472, taxonomy code is 2084F0202X and license number is G75071, license state is located at California. Mark Evan Jaffe M.D. physically located at 9201 W Sunset Blvd, West Hollywood CA, 90069-3701. NPI Number Mark Evan Jaffe M.D. has the Individual type.

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1477763472 NPI number is provided on an as is basis without warranty of any kind. 1477763472 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Evan Jaffe M.D. are for informational purposes only.