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Vidya Jeyendran
NPI 1437983350 · on the registry since 2024
Practice
- Address
- 8605 Santa Monica Blvd # 188287
West Hollywood, CA 90069 - Phone
- (805) 587-2759
- Organisation at this address
- Jumpstart Aba, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-02
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