person
Jonathan Ivan Pedroza
Student in an Organized Health Care Education/Training Program in South Pasadena, California
NPI 1609584390

Jonathan Ivan Pedroza is a Student in an Organized Health Care Education/Training Program based in South Pasadena, CA. Jonathan Ivan Pedroza practices in South Pasadena, CA. The NPI Number for Jonathan Ivan Pedroza is 1609584390 and holds a License No. (California).

The current practice location address for Jonathan Ivan Pedroza is 205 Pasadena Ave, South Pasadena, CA and can be reached out via phone at 323-344-5536 and via fax at 323-344-5550.

Location: 205 Pasadena Ave, South Pasadena, CA, 91030-2919
person
Provider Profile Details
NPI Number
1609584390
Provider Name
Jonathan Ivan Pedroza
Credential
Provider Entity Type
Individual
Gender
Male
Address
205 Pasadena Ave, South Pasadena, CA, 91030-2919
Phone Number
323-344-5536
Fax Number
323-344-5550
Provider Enumeration Date
11/10/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7708 01 CA MEDI-CAL
7184 01 CA MEDI-CAL
7368 01 CA MEDI-CAL
7667 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
205 Pasadena Ave
City
State
Zip
91030-2919
Phone Number
323-344-5536
Fax Number
323-344-5550
person
Provider Business Mailing Address Details
Address
205 Pasadena Ave
City
State
Zip
91030-2919
Phone Number
323-344-5536
Fax Number
323-344-5550
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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