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NPI Code Detail

MEDICARE: JADA GIPSON

MEDICARE: JADA GIPSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1144165903
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADA GIPSON
Provider Business Mailing Address
First Line : 555 E OCEAN BLVD STE 330
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-5052
Country : US
Telephone Number : 562-432-0020
Fax Number :
Provider Business Practice Location Address
First Line : 555 E OCEAN BLVD STE 330
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-5052
Country : US
Telephone Number : 562-432-0020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “ JADA GIPSON ” Practice Location

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