Provider Demographics
NPI:1184380628
Name:JEE HEALTHCARE
Entity type:Organization
Organization Name:JEE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCOBAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-268-5536
Mailing Address - Street 1:1300 N VERMONT AVE STE 610
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6088
Mailing Address - Country:US
Mailing Address - Phone:818-620-2625
Mailing Address - Fax:818-998-1146
Practice Address - Street 1:1300 N VERMONT AVE STE 610
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6088
Practice Address - Country:US
Practice Address - Phone:818-620-2625
Practice Address - Fax:818-998-1146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center