Jesse Dayondon, OT
Case Manager/Care Coordinator in Commerce, CA. Individual provider (NPI-1).
NPI number1164038790
StatusActive
Last updated in NPPESSep 18, 2020
Details
- NPI
- 1164038790
- Entity type
- Individual (NPI-1)
- Name
- Jesse Dayondon
- Credential
- OT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2020
- Certification date
- Sep 18, 2020
- Last updated
- Sep 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2040 Camfield AveCommerce, CA 90040-1502
Phone 323-558-7677
Mailing address
5425 Pomona BlvdLos Angeles, CA 90022-1716
Phone 323-728-0411
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