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General NPI Number Information
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NPI Number | 1184380628
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Entity Type | Organization
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Legal Business Name | JEE HEALTHCARE
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Dates
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Enumeration Date | 11/09/2021
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Last Update Date | 11/09/2021
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Provider Practice Location Address
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Address Line | 1300 N VERMONT AVE STE 610
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City | LOS ANGELES
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State | CA
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Zip | 90027-6088
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Country | US
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Telephone | 818-620-2625
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Fax | 818-998-1146
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Provider Business Mailing Address
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Address Line | 1300 N VERMONT AVE STE 610
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City | LOS ANGELES
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State | CA
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Zip | 90027-6088
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Country | US
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Telephone | 818-620-2625
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Fax | 818-998-1146
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JOSEPH ESCOBAR
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Credential | MD
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Telephone | 818-268-5536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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