Individual provider · Type 1 NPI

Jasmine Ortiz

Student in an Organized Health Care Education/Training Program · Long Beach, CA

NPI number 1417861402 Active

Practice location

150 W Victoria St
Long Beach, CA 90805-2147

Mailing address

1515 Hughes Way
Long Beach, CA 90810-1865

Other practice locations

  • 1400 E 20th St, Long Beach, CA 90806-5757 · (000) 000-0000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1417861402

Jasmine Ortiz's National Provider Identifier is 1417861402, issued on Sep 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Long Beach, CA. The record was last updated on Sep 29, 2026.