| Jo Neuroassessment Center | |
|
15335 Morrison St Ste 205 Sherman Oaks CA 91403 | |
| (818) 647-0105 | |
| Not Available |
| Full Name | Jo Neuroassessment Center |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 15335 Morrison St Ste 205, Sherman Oaks, California |
| Authorized Official Name and Position | Mi-yeoung Jo (PRESIDENT/OWNER) |
| Authorized Official Contact | 8186470105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jo Neuroassessment Center 15335 Morrison St Ste 205 Sherman Oaks CA 91403-1585 Ph: (818) 647-0105 | Jo Neuroassessment Center 15335 Morrison St Ste 205 Sherman Oaks CA 91403 Ph: (818) 647-0105 |
| NPI Number | 1215455670 |
|---|---|
| Provider Enumeration Date | 09/06/2017 |
| Last Update Date | 10/25/2018 |
| Medicare PECOS PAC ID | 2668738782 |
|---|---|
| Medicare Enrollment ID | O20171106002760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215455670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 20814 (California) | Primary |
| Provider Name | Mi-yeoung Jo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245269117 PECOS PAC ID: 4385607266 Enrollment ID: I20090115000764 |
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