Individual provider · Type 1 NPI

Jasmin Shores

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

NPI number 1548901705 Active

Practice location

1920 Colorado Ave
Santa Monica, CA 90404-3414

Call (310) 319-4700 Map

Other practice locations

  • 1871 9th St, Santa Monica, CA 90404-4501 · (310) 314-6200

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X189626 (CA)
Family Medicine Physician 207Q00000X189626 (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 1548901705

Jasmin Shores's National Provider Identifier is 1548901705, issued on Apr 4, 2022. 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 Sep 2, 2026.