Provider Demographics
NPI:1598573180
Name:JANEJAI, JAROONJET
Entity type:Individual
Prefix:
First Name:JAROONJET
Middle Name:
Last Name:JANEJAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1324 N POINSETTIA PL APT 304
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-4398
Mailing Address - Country:US
Mailing Address - Phone:323-504-1651
Mailing Address - Fax:
Practice Address - Street 1:1324 N POINSETTIA PL APT 304
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-4398
Practice Address - Country:US
Practice Address - Phone:323-504-1651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75973225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist