Individual provider · Type 1 NPI

Jaime Emmanuel Fajardo, LVN

Licensed Vocational Nurse · Altadena, CA

NPI number 1710125786 Active

Practice location

3126 Glenrose Ave
Altadena, CA 91001-4328

Fax (626) 296-9818

Mailing address

901 S Kingsley Dr, Apt. 307
Los Angeles, CA 90006-1291

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X236322 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1710125786

Jaime Emmanuel Fajardo, LVN's National Provider Identifier is 1710125786, issued on Jan 29, 2009. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Altadena, CA. The record was last updated on Jan 29, 2009.