Individual provider · Type 1 NPI

Benjamin Fajardo

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

NPI number 1659941524 Active

Practice location

18726 S Western Ave Ste 408
Gardena, CA 90248-3858

Call (310) 856-0800 Map

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 1659941524

Benjamin Fajardo's National Provider Identifier is 1659941524, issued on Jul 1, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gardena, CA. The record was last updated on Aug 25, 2022.