Search › California › 1041C0700X
Jittisa Tongtip, LCSW
NPI 1477912004 · on the registry since 2016
Practice
- Address
- 5426 E Olympic Blvd
Commerce, CA 90022 - Phone
- (310) 482-0228
- Organisation at this address
- West Los Angeles Vamc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- CA, HI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California