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Jesse Guberman
NPI 1982090023 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3615 Wasatch Ave
Los Angeles, CA 90066 - Phone
- (323) 919-9998
Registry record
- Primary taxonomy
- 2355S0801X
2355S0801X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-15
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