Organization
ARSLEGAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN JAKLE (VICE PRESIDENT)
(562) 696-1181
Entity
Organization
Contact information
Practice address
13925 WHITTIER BLVD, WHITTIER, CA 90605-2037
(562) 696-1181
Mailing address
13925 WHITTIER BLVD, WHITTIER, CA 90605-2037
(562) 696-1181
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3194286
HEALTHCARE SERVICE PROVIDER
CA
Enumeration date
02/12/2015
Last updated
02/12/2015
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