Individual
JONATHAN LOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(562) 385-6398
Mailing address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
5663-T
CA
225800000X
Recreation Therapist
Primary
81242
CA
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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