| Jerry John Edoloverio, | |
|
12021 Wilmington Avenue, Building 18, Suite 101, Los Angeles, CA 90059 | |
| (424) 454-6001 | |
| Not Available |
| Full Name | Jerry John Edoloverio |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Addiction (substance Use Disorder) |
| Location | 12021 Wilmington Avenue, Los Angeles, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437908282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | 705143 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry John Edoloverio, 12021 Wilmington Ave., Building 18, Suite 101, Los Angeles, CA 90059 Ph: (424) 454-6001 | Jerry John Edoloverio, 12021 Wilmington Avenue, Building 18, Suite 101, Los Angeles, CA 90059 Ph: (424) 454-6001 |
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