Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ML20007938 | WA |
N | 208600000X | Surgeon | ML20007938 | WA |
Y | 2086S0102X | Surgical Critical Care | A113981 | CA |
NPI | 1154432482 |
---|---|
Provider Name | Dr. Aaron R Jensen |
First Address | Los Angeles, CA 90027-6062 |
Second Address | Los Angeles, CA 90027-6062 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 29/06/2011 |