DR. JEANETTE MARIE BLACK (NPI# 1497070510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497070510 |
| Entity Type | Individual |
| Full Name | DR. JEANETTE MARIE BLACK |
| Credential | M.D. |
| Practice Address |
9201 W Sunset Blvd Suite 602 Los Angeles CA 90069-3701 |
| Mailing Address |
2285 Corporate Cir Ste 200 Henderson NV 89074-7759 |
| Practice Telephone | 3102460495 |
| Practice Fax Number | 3102460496 |
| Mailing Telephone | 7023602763 |
| Mailing Fax Number | 9497832880 |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2017-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
A136731 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174668875 | Jeanette Black | Counselor | 29413 Russell St, Gold Beach, OR 97444-7748 | 2007-02-20 |
| Street Address |
9201 W SUNSET BLVD SUITE 602 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90069-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699121087 | Rambod Etessami-azam | Dentist | 9201 W Sunset Blvd, Suite 908, Los Angeles, CA 90069-3701 | 2016-05-04 |
| 1720444979 | Mitanaur Anesthesia Services Inc | Anesthesiology | 9201 W Sunset Blvd, Ste#405, Los Angeles, CA 90069-3701 | 2016-01-04 |
| 1497191027 | Philip Ruben | Dentist | 9201 W Sunset Blvd, Suite 903, Los Angeles, CA 90069-3701 | 2013-05-22 |
| 1700229903 | Rami Etessami Dds. Inc. | Dentist | 9201 W Sunset Blvd, Suite 908, Los Angeles, CA 90069-3701 | 2013-04-08 |
| 1265705925 | Gary Motykie, M.d. A Medical Corporation | Surgery | 9201 W Sunset Blvd, Suite Gf-1, Los Angeles, CA 90069-3701 | 2012-02-10 |
| 1508159161 | Jennifer Marie Heiger | Naturopath | 9201 W Sunset Blvd, Suite 701, Los Angeles, CA 90069-3701 | 2011-05-16 |
| 1003129016 | 9201 Sunset Surgery Center, Inc. | Clinic/Center | 9201 W Sunset Blvd, Suite Gf, Los Angeles, CA 90069-3701 | 2010-07-19 |
| 1962721621 | Devin Otagaki | Physical Therapist | 9201 W Sunset Blvd, Los Angeles, CA 90069-3701 | 2010-05-20 |
| 1508188913 | Beverly Hills Sunset Medical Group | Registered Nurse | 9201 W Sunset Blvd, Suite M155, Los Angeles, CA 90069-3701 | 2010-02-26 |
| 1699003731 | Jeffrey D Hoefflin Md Inc | Surgery | 9201 W Sunset Blvd, Ste.#805, Los Angeles, CA 90069-3701 | 2009-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620188 | Schewitz Psychological Services Inc | Counselor | 722 North Orlando Avenue, #109, West Hollywood, CA 90069 | 2020-02-05 |
| 1083259840 | Remedy Place Physicians | Plastic Surgery | 8305 Sunset Blvd, Los Angeles, CA 90069 | 2019-11-15 |
| 1922527894 | Hansol | Acupuncturist | 9210 Sunset Blvd #212, Los Angeles, CA 90069 | 2017-09-12 |
| 1982121026 | Karen A Robinson | Dental Hygienist | 1264 N. Kings Rd, #14, West Hollywood, CA 90069 | 2017-08-29 |
| 1851844237 | Anna Mcmaster | Physical Therapist | 1201 Larrabee St Apt 205, West Hollywood, CA 90069 | 2016-08-02 |
| 1730565136 | Brittany Giraud | Nurse Practitioner | 8570 W. Sunset Blvd Suite 1.5, West Hollywood, CA 90069 | 2015-08-07 |
| 1124454962 | Twin Town Corporation | Clinic/Center | 8739 Santa Monica Blvd., West Hollywood, CA 90069 | 2013-09-25 |
| 1609201417 | Jaclyn Jean Tolentino | Family Medicine | 8550 Santa Monica Blvd, 2nd Floor, West Hollywood, CA 90069 | 2013-09-11 |
| 1992144489 | Virginia Denise Hall | Nurse Practitioner | 8570 W Sunset Blvd Ste 1.5, West Hollywood, CA 90069 | 2013-06-18 |
| 1518305473 | Amedco California Inc. | Optometrist | 8624 Sunset Blvd., The Eye Gallery - La, West Hollywood, CA 90069 | 2013-06-12 |
| Find all providers in zip 90069 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175006 | Lms Medical Services | Dermatology | 1118 N Mccadden Pl, Los Angeles, CA 90038-1213 | 2020-08-17 |
| 1023183258 | Leonard H Kim | Dermatology | 2080 Century Park E Ste 401, Los Angeles, CA 90067 | 2006-11-22 |
| 1740213198 | Irradiance Medical Group Inc | Dermatology | 420 E 3rd St Ste 805, Los Angeles, CA 90013-1646 | 2006-07-09 |
| 1245698752 | Skinstyle Dermatology, Inc. | Dermatology | 2990 S Sepulveda Blvd, Suite 300, Los Angeles, CA 90064-0002 | 2016-01-29 |
| 1083954226 | Rebecca Fitzgerald M.d., Inc. | Dermatology | 321 N Larchmont Blvd, Suite 906, Los Angeles, CA 90004-3025 | 2013-02-25 |
| 1164643839 | Goldman Dubow Medical Group | Dermatology | 8631 W 3rd St, 635 East, Los Angeles, CA 90048-5901 | 2007-05-01 |
| 1659418721 | Leonard H Kim Md Medical Corp | Dermatology | 2080 Century Park E Ste 401, Los Angeles, CA 90067 | 2007-01-30 |
| 1992867758 | Harvey Abrams | Dermatology | 5757 Wilshire Blvd, Promenade 2, Los Angeles, CA 90036-5810 | 2006-12-15 |
| 1629174818 | Edgar Fincher Md, Incorporated | Dermatology | 100 Ucla Medical Plz, Suite 590, Los Angeles, CA 90024-6970 | 2006-09-15 |
| 1942305487 | Michelle H. Lee | Dermatology | 8631 W 3rd St, Suite 1035 East, Los Angeles, CA 90048-5901 | 2006-09-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90069 |
Please comment or provide details below to improve the information on DR. JEANETTE MARIE BLACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.