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NPI Code Detail

MEDICARE: JAMES RODNEY JONES M.D.

MEDICARE: JAMES RODNEY JONES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianA 49225CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A 49225OTHERCASTATE MEDICAL LICENSE

General Provider Information

NPI Number : 1013093194
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES RODNEY JONES M.D.
Provider Business Mailing Address
First Line : 419 N LARCHMONT BLVD # 318
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-3013
Country : US
Telephone Number : 213-385-7519
Fax Number : 213-386-0895
Provider Business Practice Location Address
First Line : 529 MAPLE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90013-1511
Country : US
Telephone Number : 213-430-6736
Fax Number : 213-895-6266
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2006
Last Update Date : 07/08/2007

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