Search › California › 224Z00000X
Jackson Laus, COTA/L
NPI 1396384939 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2800 Riverside Dr Apt 203
Los Angeles, CA 90039 - Phone
- (323) 434-1414
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-30
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