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Individual

DR. JENNIFER VANESSA MOGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
14445 OLIVE VIEW DR, SYLMAR, CA 91342-1437
(747) 210-5656
Mailing address
350 N GLENDALE AVE STE B107, GLENDALE, CA 91206-3794
(323) 524-8488

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
2084P0800X
Psychiatry Physician
Primary
177096
CA

Other

Enumeration date
04/25/2020
Last updated
04/06/2026
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