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NPI Code Detail

MEDICARE: JESSICA BROOKS DO

MEDICARE: JESSICA BROOKS DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1790629632
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA BROOKS DO
Provider Business Mailing Address
First Line : 1770 N ORANGE GROVE AVE STE 201
Second Line :
City : POMONA
State : CA
Zip : 91767-3027
Country : US
Telephone Number : 909-469-9490
Fax Number : 909-865-9601
Provider Business Practice Location Address
First Line : 1770 N ORANGE GROVE AVE STE 201
Second Line :
City : POMONA
State : CA
Zip : 91767-3027
Country : US
Telephone Number : 909-469-9490
Fax Number : 909-865-9601
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 “ JESSICA BROOKS DO” Practice Location

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