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Search › California › 164W00000X

Jaeson Fetalvero

NPI 1356953848 · on the registry since 2020 · sole proprietor

Practice

Address
7246 Remmet Ave
Canoga Park, CA 91303
Phone
(818) 206-0630
Organisation at this address
Aegis Institute, Inc.
Aegis Treatment Centers, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Additional practice sites

  • 1235 Mchenry Ave Ste A&B, Modesto, CA

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-05-21

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