Individual provider · Type 1 NPI

Jorge Beanato

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

NPI number 1669928701 Active

Practice location

1891 N Gaffey St, Suite 228
San Pedro, CA 90731-1267

Mailing address

456 Elm Ave
Long Beach, CA 90802-2426

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 1669928701

Jorge Beanato's National Provider Identifier is 1669928701, issued on Aug 29, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Pedro, CA. The record was last updated on Aug 29, 2016.