Individual
JAMEELA LAVANGIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 FOUNTAIN AVE, REHAB DEPT, LOS ANGELES, CA 90029-1005
(310) 227-1483
Mailing address
1729 E PINE AVE APT 3, EL SEGUNDO, CA 90245-4456
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11525
CA
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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