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JAMES JENS BLACK M.D. INC. NPI 1801031489


NPI Information

NPI: 1801031489
Provider Name: JAMES JENS BLACK, M.D., INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
22930 CRENSHAW BLVD STE D
TORRANCE, CA
ZIP 90505
Phone: (310) 530-4200
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JAMES JENS BLACK, M.D., INC. is a specialist in Torrance, CA. The provider is 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. JAMES JENS BLACK, M.D., INC. NPI is 1801031489. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22930 CRENSHAW BLVD STE D
TORRANCE, CA
ZIP 90505-048
Phone: (310) 530-4200
Fax: (310) 530-1562

The provider's authorized official is Valerie G. Diaz .
The authorized official title is Office Manager and has the following contact phone number (310) 530-4200.

The enumeration date for this NPI number is 12/10/2008 and was last updated on 12/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG67618CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G676181MEDICAIDCALIFORNIA
2G67618MEDICARE PINCALIFORNIA
3F86827MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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