Individual
JERRY LUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 16TH ST # C230, SANTA MONICA, CA 90404-1249
(310) 319-4698
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A179726
CA
Other
Enumeration date
04/03/2019
Last updated
10/02/2023
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