Individual provider · Type 1 NPI

Jared Carter Nelson

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

NPI number 1972104552 Active

Practice location

9100 S Sepulveda Blvd Ste 105
Los Angeles, CA 90045-4849

Mailing address

4215 Don Tomaso Dr Apt 15
Los Angeles, CA 90008-5344

Other practice locations

  • 1334 Post Ave, Torrance, CA 90501-2620 · (310) 328-1460

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X13019 (CA)

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.

2 other providers at this address

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About NPI 1972104552

Jared Carter Nelson's National Provider Identifier is 1972104552, issued on Nov 2, 2020. 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 Aug 6, 2026.