Organization
GEORGIA JESSUP AND ASSOICATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GEORGIA LEE JESSUP MACCC (SPEECH THERAPIST)
(310) 450-0666
Entity
Organization
Contact information
Practice address
531 W COLLEGE ST, LOS ANGELES, CA 90012-2315
(213) 683-9390
Mailing address
2101 MARINE ST, SANTA MONICA, CA 90405-6039
(310) 450-0666
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
SP2916
CA
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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