person
Jacob Isaiah Bodden, MD
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1093402307

Jacob Isaiah Bodden is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Jacob Isaiah Bodden practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Jacob Isaiah Bodden is 1093402307 and holds a License No. (California).

The current practice location address for Jacob Isaiah Bodden is 1720 E Cesar E Chavez Ave, Los Angeles, CA and can be reached out via phone at 800-465-3203.

Location: 1720 E Cesar E Chavez Ave, Los Angeles, CA, 90033-2414
person
Provider Profile Details
NPI Number
1093402307
Provider Name
Jacob Isaiah Bodden
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1720 E Cesar E Chavez Ave, Los Angeles, CA, 90033-2414
Phone Number
800-465-3203
Fax Number
Provider Enumeration Date
04/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1720 E Cesar E Chavez Ave
City
State
Zip
90033-2414
Phone Number
800-465-3203
Fax Number
person
Provider Business Mailing Address Details
Address
1720 E Cesar E Chavez Ave
City
State
Zip
90033-2414
Phone Number
800-465-3203
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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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