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Dr. Theresa C Henderson, MD
Specialist in Los Angeles, California
NPI 1497878177

Theresa C Henderson is a Specialist based in Los Angeles, CA. Theresa C Henderson practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Theresa C Henderson is 1497878177 and holds a License No. A40129 (California).

The current practice location address for Theresa C Henderson is 8631 W 3Rd St, Los Angeles, CA and can be reached out via phone at 310-652-3055 and via fax at 310-652-0738.

Location: 8631 W 3Rd St, Los Angeles, CA, 90048-5901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497878177
Provider Name
Theresa C Henderson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
8631 W 3Rd St, Los Angeles, CA, 90048-5901
Phone Number
310-652-3055
Fax Number
310-652-0738
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8631 W 3Rd St
City
Los Angeles
State
California
Zip
90048-5901
Phone Number
310-652-3055
Fax Number
310-652-0738
person
Provider Business Mailing Address Details
Address
8631 W 3Rd St
City
Los Angeles
State
California
Zip
90048-5901
Phone Number
310-652-3055
Fax Number
310-652-0738
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A40129 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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