Individual
JESUS ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3011 N NORTH COOLIDGE AVE, LOS ANGELES, CA 90039-3413
(323) 854-9226
Mailing address
3011 N NORTH COOLIDGE AVE, LOS ANGELES, CA 90039-3413
(323) 854-9226
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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