Search › California › 172V00000X
Jewel Illis
NPI 1205617933 · on the registry since 2023
Practice
- Address
- 3633 E Broadway
Long Beach, CA 90803 - Phone
- (661) 604-2015
- Organisation at this address
- Mental Health America Of Los Angeles
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 61
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Sex
- Female
- Record last updated
- 2026-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California