Individual provider · Type 1 NPI

Jon A. Detterich, MD

Pediatric Emergency Medicine (Emergency Medicine) Physician · Los Angeles, CA

NPI number 1659518884 Active

Practice location

4650 W Sunset Blvd, Ms #113
Los Angeles, CA 90027-6062

Call (323) 361-2109 Map

Mailing address

6430 W Sunset Blvd, Suite 600
Los Angeles, CA 90028-7901

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Emergency Medicine) Physician Primary 207PP0204XA89834 (CA)

Pediatric Emergency Medicine (Emergency Medicine) Physician: Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

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About NPI 1659518884

Jon A. Detterich, MD's National Provider Identifier is 1659518884, issued on Jan 9, 2009. The primary taxonomy on file is Pediatric Emergency Medicine (Emergency Medicine) Physician (207PP0204X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 9, 2009.