Jon A Detterich, MD is a pediatric emergency medicine emergency medicine in Los Angeles, CA with 21 years of experience. The provider is pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. Jon A Detterich, MD NPI is 1659518884. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:2003
The provider's business location address is:
4650 W SUNSET BLVD
MS #113
LOS ANGELES, CA
ZIP 90027-062
Phone: (323) 361-2109
The NPI 1659518884 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/9/2009 and was last updated on 1/9/2009.