Individual provider · Type 1 NPI

Kimberly Mariby Goopar Juarez

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

NPI number 1780595280 Active

Practice location

5318 Crenshaw Blvd
Los Angeles, CA 90043-1810

Call (323) 293-6291 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 1780595280

Kimberly Mariby Goopar Juarez's National Provider Identifier is 1780595280, issued on Sep 14, 2026. 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 Sep 14, 2026.