Provider Demographics
NPI:1841428323
Name:JEN, HOWARD C (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:C
Last Name:JEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:10833 LE CONTE AVE
Mailing Address - Street 2:CHS BLDG, MC 709818
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-9818
Mailing Address - Country:US
Mailing Address - Phone:310-206-2429
Mailing Address - Fax:310-206-1120
Practice Address - Street 1:10833 LE CONTE AVENUS
Practice Address - Street 2:CHS BLDG, MC 709818
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-9818
Practice Address - Country:US
Practice Address - Phone:310-206-2429
Practice Address - Fax:310-206-1120
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2017-01-01
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Provider Licenses
StateLicense IDTaxonomies
CAA100000208600000X, 2086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery