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Organization
JITTIMA JIRASETPATANA
Active
Organization
JITTIMA JIRASETPATANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JITTIMA JIRASETPATANA DPM (OWNER)
(818) 242-3668
Entity
Organization
Contact information
Practice address
1510 S CENTRAL AVE, SUITE 120, GLENDALE, CA 91204-2500
(818) 242-3668
(818) 242-2425
Mailing address
1510 S CENTRAL AVE STE 120, GLENDALE, CA 91204-2576
(818) 242-3668
(818) 242-2425
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4442
CA
Other
Enumeration date
07/03/2007
Last updated
05/09/2024
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