Individual provider · Type 1 NPI

Jeannie Visarutanun

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

NPI number 1447173398 Active

Practice location

4950 W Sunset Blvd
Los Angeles, CA 90027-5821

Call (866) 352-8669 Map

Mailing address

4511 Ranchgrove Dr
Irvine, CA 92604-2315

Other practice locations

  • 1985 Zonal Ave, Los Angeles, CA 90089-5305 · (323) 442-1369

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XINT49882 (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.

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About NPI 1447173398

Jeannie Visarutanun's National Provider Identifier is 1447173398, issued on Jul 30, 2026. 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 Jul 30, 2026.