Search › California › 101YM0800X
Jenny Tae
NPI 1619338118 · on the registry since 2016
Practice
- Address
- 515 Columbia Ave
Los Angeles, CA 90017 - Phone
- (213) 553-1884
- Organisation at this address
- Special Service For Groups, Inc.
Special Service For Groups, Inc.
Special Service For Groups, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 126
Additional practice sites
- 515 Columbia Ave, Los Angeles, CA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 104100000X
171M00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-14
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