Individual
JUAN MANUEL JORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1670 E 120TH ST, LOS ANGELES, CA 90059-3026
(424) 338-2287
(310) 668-4770
Mailing address
2454 EARL AVE, LONG BEACH, CA 90806-3059
(562) 301-5548
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
493865
CA
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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