Jasen Mcgoldrick
NPI #1023556610 in Los Angeles, California
Provider Information
- NPI Number
- 1023556610
- Entity Type
- Individual
- Name
- Jasen Mcgoldrick
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Feb 3, 2017
- Last Updated
- Feb 3, 2017
Practice Location
- Address
- 4445 BURNS AVE.
- City
- Los Angeles
- State
- California
- ZIP Code
- 90029
- Phone
- (323) 244-8397
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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