Individual provider · NPI-1
Dr. Jennifer Ann Adrissi, MD
Psychiatry & Neurology, Neurology · Los Angeles, CA
NPI number1851782783
StatusActive
Last updated in NPPESNov 17, 2022
Details
- NPI
- 1851782783
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jennifer Ann Adrissi
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2015
- Certification date
- Nov 17, 2022
- Last updated
- Nov 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | A182650 | CA | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | 125.068525 | IL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
300 Ucla Medical Plz # B200Los Angeles, CA 90095-8346
Phone 310-794-1195
Mailing address
5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone 310-301-8707
Other practice locations
240 East Huron Street, Mcgaw Pavilion, Suite 1-203
Office Of Graduate Medical Education
Chicago, IL 60611
Office Of Graduate Medical Education
Chicago, IL 60611
Phone 312-926-2000
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