Individual
JEFFREY JOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 W COCHRAN ST, SIMI VALLEY, CA 93065-6215
(818) 257-8263
Mailing address
15566 VIEWRIDGE LN, GRANADA HILLS, CA 91344-3117
(818) 257-8263
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67747
CALIFORNIA CHOICE
—
Enumeration date
02/21/2020
Last updated
02/21/2020
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