Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jessica Lupe Landeros, DPT

Individual provider Physical Therapist · NPI 1104676147

Dr. Jessica Lupe Landeros, DPT is a Physical Therapist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

6214 W Manchester Ave
Los Angeles, CA 90045-3801
Phone: (310) 348-8464
Fax: (310) 348-8470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT305569 (CA)

Record details

NPI number1104676147
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 23, 2024

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