Basic Information
| Provider Information | |||||||||
| NPI: | 1013093194 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | RODNEY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 419 N LARCHMONT BLVD # 318 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900043013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2133857519 | ||||||||
| FaxNumber: | 2133860895 | ||||||||
| Practice Location | |||||||||
| Address1: | 529 MAPLE AVE | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900131511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2134306736 | ||||||||
| FaxNumber: | 2138956266 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | A 49225 | CA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | A 49225 | 01 | CA | STATE MEDICAL LICENSE | OTHER |