Individual
JAY SUKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 PINE AVE STE 609, LONG BEACH, CA 90802-2310
(310) 571-5302
Mailing address
3728 S BARRINGTON AVE, LOS ANGELES, CA 90066-3210
(310) 571-5302
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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