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Individual

JESSIE DAKOTA BJELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 UCLA MEDICAL PLZ # 420, LOS ANGELES, CA 90095-1003
(310) 206-6232
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RL16713
ND
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A185102
CA
208100000X
Physical Medicine & Rehabilitation Physician
RL16713
ND

Other

Enumeration date
06/29/2020
Last updated
11/01/2024
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