Individual provider · Type 1 NPI

Shepell Omega Jaca

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

NPI number 1871942011 Active

Practice location

3375 S Hoover St, Suite H201
Los Angeles, CA 90089-0116

Call (213) 821-5930 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XT60021960 (VA)

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 1871942011

Shepell Omega Jaca's National Provider Identifier is 1871942011, issued on Jun 8, 2016. 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 Jun 8, 2016.