Lino Jubilado

NPI 1699027524 · on the registry since 2012

Practice

Address: 1328 2nd St
Santa Monica, CA 90401
Phone: (310) 394-6889
Organisation at this address: Step Up On Second
Step Up On Second
Step Up On Second
Step Up On Second
Step Up On Second Street, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 142

Registry record

Primary taxonomy: 164X00000X
164X00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-10-02

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