Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE GRULLON, DPT
Active Sole ProprietorJESSE GRULLON, DPT is a Environmental Modification (OT) healthcare provider located in LOS ANGELES, California. NPI 1518585512 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · LOS ANGELES, CA
Registration Details
- NPI Number
- 1518585512
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2020 (6.0758874823745 yrs)
- Last Updated
- Mar 22, 2021
- License
-
PT298714 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1031 W 34TH ST STE 450LOS ANGELES, CA, 900892070Browse CA providers · Browse ZIP 90089
- Phone
- 2137400215
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
Other Environmental Modification (OT) Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN GIBBS PAULSETH | PT DPT SCS ATC | 1518065184 |
| SOPHIA GONZALEZ | DPT, ATC | 1396131173 |
| SHANNON PLOSSER | DPT | 1689198681 |
| MEGAN LOWE | — | 1548735376 |
| INGRID MICHELLE NAVEIRA | — | 1427695774 |
| CASSIDY PAPA | — | 1811563190 |
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.