Grullon, Jesse

Grullon, Jesse is an sole proprietor health care provider with primary practice located at 1031 W 34Th St Ste 450 , Los Angeles CA 90089-2070. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as his primary health care specialty. Grullon, Jesse can be contacted via phone (213) 740-0215.

Contact Information

Primary practice address
1031 W 34Th St Ste 450 Los Angeles CA 90089-2070
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT298714 California

Profile Details

NPI number 1518585512
LBN Legal business name Grullon, Jesse
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2020
Last updated Mar 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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