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Individual

JESSICA CASTORENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100
Mailing address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
123637
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6758
CA
05
7068
CA
05
7420
CA
Enumeration date
01/06/2022
Last updated
10/13/2025
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