Individual
JOSE FREGOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
522 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1306
(818) 299-4910
Mailing address
522 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1306
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95028067
CA
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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