Healthcare Provider Details

I. General information

NPI: 1013093194
Provider Name (Legal Business Name): JAMES RODNEY JONES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 MAPLE AVE
LOS ANGELES CA
90013-1511
US

IV. Provider business mailing address

419 N LARCHMONT BLVD # 318
LOS ANGELES CA
90004-3013
US

V. Phone/Fax

Practice location:
  • Phone: 213-430-6736
  • Fax: 213-895-6266
Mailing address:
  • Phone: 213-385-7519
  • Fax: 213-386-0895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA 49225
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: