Individual provider · Type 1 NPI

Jena Depetris, MD

Body Imaging Physician · Los Angeles, CA

NPI number 1962889063 Active

Practice location

757 Westwood Plz
Los Angeles, CA 90095-8358

Call (310) 301-6800 Map

Fax (310) 794-9035

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician Primary 2085B0100XA167170 (CA)

Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.

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About NPI 1962889063

Jena Depetris, MD's National Provider Identifier is 1962889063, issued on Apr 28, 2015. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 21, 2020.