Individual
MR. JESSE GUBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3615 WASATCH AVE, LOS ANGELES, CA 90066-2714
(323) 919-9998
Mailing address
3615 WASATCH AVE, LOS ANGELES, CA 90066-2714
(323) 919-9998
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
635
CA
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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