Individual
JORGE ANTONIO SIMENTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
8725 LA TIJERA BLVD, LOS ANGELES, CA 90045-3906
(424) 331-5661
(310) 760-2033
Mailing address
816 S EASTMAN AVE APT 3, LOS ANGELES, CA 90023-1942
(424) 331-5661
(310) 760-2033
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61291
CA
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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