Individual provider · Type 1 NPI

Theresa C. Henderson, MD

Specialist · Los Angeles, CA

NPI number 1497878177 Active

Practice location

8631 W 3rd St, Suite 815-E
Los Angeles, CA 90048-5901

Call (310) 652-3055 Map

Fax (310) 652-0738

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA40129 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1497878177

Theresa C. Henderson, MD's National Provider Identifier is 1497878177, issued on Apr 9, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.