Individual
JOVANNY REAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 593-5300
Mailing address
2328 THOMAS ST, LOS ANGELES, CA 90031-2820
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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