MEDICARE: JAMIE EMERSON TEMKO MD

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
1	207V00000X	Obstetrics & Gynecology Physician	G190049	CA

General Provider Information

NPI Number	:	1811524317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE EMERSON TEMKO MD

Provider Business Mailing Address
First Line	:	4140 W 190TH ST
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90504-5513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8631 W 3RD ST STE 830E
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5804
Country	:	US
Telephone Number	:	310-423-1224
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2020
Last Update Date	:	09/06/2024

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Directions to “ JAMIE EMERSON TEMKO MD” Practice Location

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