Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA LELY CAO
Active Sole ProprietorJESSICA LELY CAO is a Sports Medicine (Emergency) healthcare provider located in ENCINO, California. NPI 1417301227 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · ENCINO, CA
Registration Details
- NPI Number
- 1417301227
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2016 (10.363786435114 yrs)
- Last Updated
- Jan 17, 2023
- Licenses
-
57.029111 (OH)A177288 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16500 VENTURA BLVD STE 250ENCINO, CA, 914362018Browse CA providers · Browse ZIP 91436
- Phone
- 8187889333
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
Other Sports Medicine (Emergency) Providers in ENCINO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTIAN JAMES SANFILIPPO | M.D. | 1851653547 |
| DR. STAVROS N. MOYSIDIS | M.D. | 1780023929 |
| NICOLE KOULISIS | MD | 1073033213 |
| DR. ERIC JUNG | MD | 1740749076 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.