Individual
JIMMY MOC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1111 N BRAND BLVD STE J&K, GLENDALE, CA 91202-3070
(818) 244-0468
Mailing address
1111 N BRAND BLVD STE J&K, GLENDALE, CA 91202-3070
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
299499
CA
Other
Enumeration date
12/28/2020
Last updated
09/26/2023
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