Basic Information
Provider Information
NPI: 1386929453
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JONES
FirstName: ERIKA
MiddleName: LYNN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 325 W 8TH ST
Address2: #1006
City: LOS ANGELES
State: CA
PostalCode: 900143169
CountryCode: US
TelephoneNumber: 8059905456
FaxNumber:  
Practice Location
Address1: 8700 BEVERLY BLVD
Address2:  
City: WEST HOLLYWOOD
State: CA
PostalCode: 90048
CountryCode: US
TelephoneNumber: 3104233277
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/19/2011
LastUpdateDate: 07/23/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X CAN Student, Health CareStudent in an Organized Health Care Education/Training Program 
208M00000XA122663CAN Allopathic & Osteopathic PhysiciansHospitalist 
207RC0000XA122663CAY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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