Individual provider · Type 1 NPI

Ja Min

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

NPI number 1760804645 Active

Practice location

11721 Telegraph Rd
Santa Fe Springs, CA 90670-3674

Mailing address

1225 Porto Grande Unit 2
Diamond Bar, CA 91765-5418

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 1760804645

Ja Min's National Provider Identifier is 1760804645, issued on Jan 13, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Fe Springs, CA. The record was last updated on Jan 13, 2014.