Individual provider · Type 1 NPI

Jasmin Khounthavong

Medical-Surgical Registered Nurse · Los Angeles, CA

NPI number 1962096495 Active

Practice location

2051 Marengo St
Los Angeles, CA 90033-1352

Call (323) 409-1000 Map

Mailing address

730 S Marengo Ave
Pasadena, CA 91106-3886

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse Primary 163WM0705X95155200 (CA)

Medical-Surgical Registered Nurse: Definition to come...

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About NPI 1962096495

Jasmin Khounthavong's National Provider Identifier is 1962096495, issued on Feb 25, 2021. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 25, 2021.