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1649732025
JERRY LUO
SANTA MONICA, CA
NPI
1649732025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA A179726)
Enumeration Date
2019-04-03
Last Update Date
2023-10-02
Business Address
JERRY LUO
1250 16TH ST # C230
SANTA MONICA, CA 90404-1249
Phone number: 310-319-4698
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Mailing Address
JERRY LUO
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8707
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