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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAISHAWN LENNA BROCK

Active Sole Proprietor

JAISHAWN LENNA BROCK is a Podiatric Surgery healthcare provider located in LONG BEACH, California. NPI 1811527245 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · LONG BEACH, CA

Registration Details

NPI Number
1811527245
Provider Type
Individual
Gender
Female
NPI Issued
Jan 24, 2020 (6.5904666679183 yrs)
Last Updated
Jan 24, 2020
Sole Proprietor
Yes

Practice Information

Address
1160 E SOUTH ST APT 2
LONG BEACH, CA, 908054141
Browse CA providers · Browse ZIP 90805
Phone
5628506496
Primary Specialty
Podiatric Surgery
3747A0650X

Other Podiatric Surgery Providers in LONG BEACH, CA

Name Credential NPI
MR. GILROSS CALIXTO 1811100944
MISS TEMRE JANE BALL AA,CPR,BLS,QMAP 1376104984
ZSA ZSA L OTEYZA 1639724826
JANET DAMPIL GRAGERA 1578118600
TERRY JESSICA GUILLEN 1730734724
CHRISTINE ELAINE GENTRY 1962057612
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.