Individual
MR. JAY ONG GAHIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5270 E LOS ANGELES AVE, SIMI VALLEY, CA 93063-4137
(805) 522-9155
Mailing address
1866 LOCUST ST, SIMI VALLEY, CA 93063-7434
(805) 210-9612
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN245984
CA
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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