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Myeong Jeong

Rehabilitation Practitioner in Los Angeles, CA. Individual provider (NPI-1).

NPI number1033964366
StatusActive
Last updated in NPPESMay 15, 2024

Details

NPI
1033964366
Entity type
Individual (NPI-1)
Name
Myeong Jeong
Sex
Female
Sole proprietor
No
Enumeration date
Apr 19, 2024
Certification date
May 15, 2024
Last updated
May 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

510 S Vermont Ave
Los Angeles, CA 90020-1912

Phone 213-738-4775

Mailing address

510 S Vermont Ave
Los Angeles, CA 90020-1912

Phone 213-738-4775

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