Individual provider · Type 1 NPI

Jazz-Patrick Vertrell Bordeaux

Day Training/Habilitation Specialist · Culver City, CA

NPI number 1124990197 Active

Practice location

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Call (310) 390-6612 Map

Fax (310) 398-5690

Mailing address

1007 Myrtle Ave
Inglewood, CA 90301-4009

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1124990197

Jazz-Patrick Vertrell Bordeaux's National Provider Identifier is 1124990197, issued on Sep 19, 2025. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Culver City, CA. The record was last updated on Sep 19, 2025.