Organization
OPENLOOP HEALTHCARE PARTNERS CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE TERRERO (SR. DIRECTOR PROVIDER DATA MNGMT)
(201) 667-5568
Entity
Organization
Contact information
Practice address
818 W 7TH ST STE A, LOS ANGELES, CA 90017-3407
(515) 216-0962
Mailing address
317 6TH AVE STE 400, DES MOINES, IA 50309-4108
(515) 216-0962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/03/2022
Last updated
11/21/2023
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