MEDICARE: JESSICA JANE BRUZAS

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
1	103TC0700X	Clinical Psychologist	PSY28129	CA
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1689910010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA JANE BRUZAS

Provider Business Mailing Address
First Line	:	4929 WILSHIRE BLVD STE 510
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-3820
Country	:	US
Telephone Number	:	213-399-8166
Fax Number	:

Provider Business Practice Location Address
First Line	:	4929 WILSHIRE BLVD STE 520
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-3859
Country	:	US
Telephone Number	:	800-275-3243
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2012
Last Update Date	:	07/21/2022

Similar Medicare Providers

1710451711 — MR. JONATHAN DANG
Practice Location Address:

4929 WILSHIRE BLVD STE 245
LOS ANGELES, CA
90010-3859

Practice Phone: 323-743-1122
Practice Fax:

1487528139 — BRIDGET DENICE GRISBY
Practice Location Address:

9450 S WESTERN AVE
LOS ANGELES, CA
90047-3859

Practice Phone: 323-358-4018
Practice Fax:

1568570695 — SHELLY MARIE ABERNATHY LCSW
Practice Location Address:

1705 S WESTGATE AVE APT 2
LOS ANGELES, CA
90025-3859

Practice Phone: 805-729-6282
Practice Fax:

1356937148 — LASHEA BROWN
Practice Location Address:

862 W 126TH ST APT 1
LOS ANGELES, CA
90044-3859

Practice Phone: 626-899-2146
Practice Fax:

1528634037 — MARLA GOODMAN
Practice Location Address:

420 AZALEA WAY
LOS ALTOS, CA
94022-3859

Practice Phone: 650-400-6915
Practice Fax:

1396444642 — KELLY MARIE OKEEFE
Practice Location Address:

1501 RACQUET CLUB DR APT H
LOS BANOS, CA
93635-3859

Practice Phone: 209-675-4263
Practice Fax:

Directions to “ JESSICA JANE BRUZAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.