Individual
MR. JAN REY G. ESTEBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22419 KENT AVE, TORRANCE, CA 90505-2303
(310) 373-9774
Mailing address
105 CIMARRON ST, LA PUENTE, CA 91744-6202
(818) 642-6818
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT32716
CA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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