Ma, Jacklyn C

Ma, Jacklyn C is an sole proprietor health care provider with primary practice located at 8700 Beverly Blvd # 8211 , West Hollywood CA 90048-1804. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Ma, Jacklyn C can be contacted via phone (310) 423-5841.

Contact Information

Primary practice address
8700 Beverly Blvd # 8211 West Hollywood CA 90048-1804
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A125181 California
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X A125181 California

Profile Details

NPI number 1609168939
LBN Legal business name Ma, Jacklyn C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2011
Last updated Dec 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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