Individual provider · Type 1 NPI

Jeffrey L. Archie Ii

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

NPI number 1790661874 Active

Practice location

7101 Baird Ave
Reseda, CA 91335-4150

Call (818) 342-5897 Map

Mailing address

1732 Whitley Ave Apt 227
Los Angeles, CA 90028-8094

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 1790661874

Jeffrey L. Archie Ii's National Provider Identifier is 1790661874, issued on Aug 13, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Reseda, CA. The record was last updated on Aug 13, 2025.