Individual provider · Type 1 NPI

Petrus Johannes Jansen Van Rensburg

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

NPI number 1609636844 Active

Practice location

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Call (628) 888-4354 Map

Mailing address

103 Bolinas Ave
Ross, CA 94957-9644

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 1609636844

Petrus Johannes Jansen Van Rensburg's National Provider Identifier is 1609636844, issued on Mar 21, 2024. 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 Mar 21, 2024.