Healthcare Provider Details

I. General information

NPI: 1962359901
Provider Name (Legal Business Name): JASMINE TREFZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 LONG BEACH BLVD STE 307
LONG BEACH CA
90807-3334
US

IV. Provider business mailing address

2201 E 21ST ST APT C
SIGNAL HILL CA
90755-5976
US

V. Phone/Fax

Practice location:
  • Phone: 562-270-2970
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number21459
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: