Individual
JEREMY PENAOJAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1447 ARMADALE AVE, LOS ANGELES, CA 90042-1611
(323) 551-5876
Mailing address
1447 ARMADALE AVE, LOS ANGELES, CA 90042-1611
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
49312
CA
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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