Individual provider · Type 1 NPI

Jeanette Marie Black, MD

Procedural Dermatology Physician · Los Angeles, CA

NPI number 1497070510 Active

Practice location

9201 W Sunset Blvd, Suite 602
Los Angeles, CA 90069-3701

Fax (310) 246-0496

Mailing address

2285 Corporate Cir, Ste 200
Henderson, NV 89074-7759

Specialties and licenses

TaxonomyCodeLicense
Procedural Dermatology Physician Primary 207NS0135XA136731 (CA)

Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…

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About NPI 1497070510

Jeanette Marie Black, MD's National Provider Identifier is 1497070510, issued on Mar 31, 2010. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 23, 2017.