# JRHEEMD PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659432409
- **Authorized official:** MRS. TERESA Y MILLIGAN (BUSINESS BILLING MANAGER)
- **Authorized official phone:** (714) 777-2469

## Contact information

- **Practice address:** 520 S VIRGIL AVE STE 303, LOS ANGELES, CA 90020-1425
- **Practice address phone:** (714) 777-2469
- **Practice address fax:** (714) 917-4620
- **Mailing address:** 520 S VIRGIL AVE STE 303, LOS ANGELES, CA 90020-1425
- **Mailing address phone:** (714) 777-2469
- **Mailing address fax:** (310) 329-0176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | A92345 | CA | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 04/14/2023