Individual
JAKE TIMOTHY PLEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CGC
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 120, LOS ANGELES, CA 90095-3441
(408) 510-9802
Mailing address
1145 GAYLEY AVE STE 391, LOS ANGELES, CA 90024-3441
(408) 510-9802
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001875
CA
Other
Enumeration date
09/09/2024
Last updated
09/11/2024
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