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General NPI Number Information
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NPI Number | 1528953619
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Entity Type | Organization
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Legal Business Name | JENNIFER SIEGEL PSYCHIATRY
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 1990 S BUNDY DR STE 320
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City | LOS ANGELES
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State | CA
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Zip | 90025-5249
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Country | US
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Telephone | 805-601-6394
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Fax |
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Provider Business Mailing Address
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Address Line | 8605 SANTA MONICA BLVD # 107130
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4109
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PSYCHIATRIST
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Name | JENNIFER SIEGEL
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Credential | MD
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Telephone | 805-601-6394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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