Individual provider · Type 1 NPI

Jonathan Pak

Student in an Organized Health Care Education/Training Program · Santa Monica, CA

NPI number 1053238535 Active

Practice location

2001 Santa Monica Blvd Ste 100W
Santa Monica, CA 90404-2176

Call (310) 496-7555 Map

Mailing address

3585 S Vermont Ave
Los Angeles, CA 90007-5244

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program Primary	390200000X	51133 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2 other providers at this address

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About NPI 1053238535

Jonathan Pak's National Provider Identifier is 1053238535, issued on Jul 3, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Monica, CA. The record was last updated on Jul 3, 2026.