Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | 12214 | CA |
NPI | 1083922975 |
---|---|
Provider Name | Jazminne Orozco |
First Address | Los Angeles, CA 90010-1577 |
Second Address | Los Angeles, CA 90010-1577 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2010 |
Last Update Date | 03/03/2014 |