Individual
JESSICA NAMYOUNG JEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
3617 AVALON BLVD STE 200, LOS ANGELES, CA 90011-5601
(909) 477-1595
Mailing address
13071 JARDENE ST, EASTVALE, CA 92880-0946
(909) 477-1595
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
24388
CA
Other
Enumeration date
08/18/2023
Last updated
06/27/2025
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