Individual provider · Type 1 NPI

Guadalupe Jasso

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1073114302 Active

Practice location

1325 N Western Ave
Los Angeles, CA 90027-5615

Other practice locations

  • 762 Cypress St, San Dimas, CA 91773-3505 · (909) 599-1227
  • 108 W Victoria St, Gardena, CA 90248-3523 · (310) 715-2020

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner 225400000XNone listed

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.

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About NPI 1073114302

Guadalupe Jasso's National Provider Identifier is 1073114302, issued on Nov 3, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 20, 2026.