Individual
DR. JAE JOUN JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-1901
(213) 977-2121
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C51406
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C514060
—
CA
Enumeration date
02/24/2006
Last updated
04/16/2013
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