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Jasmin Khounthavong
Medical-Surgical Registered Nurse in Los Angeles, California
NPI 1962096495

Jasmin Khounthavong is a Medical-Surgical Registered Nurse based in Pasadena, CA and is specialized in Medical-Surgical. Jasmin Khounthavong practices in Los Angeles, CA. The NPI Number for Jasmin Khounthavong is 1962096495 and holds a License No. 95155200 (California).

The current practice location address for Jasmin Khounthavong is 2051 Marengo St, Los Angeles, CA and can be reached out via phone at 323-409-1000.

Location: 2051 Marengo St, Los Angeles, CA, 91106-3886
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962096495
Provider Name
Jasmin Khounthavong
Credential
Provider Entity Type
Individual
Gender
Female
Address
2051 Marengo St, Los Angeles, CA, 91106-3886
Phone Number
323-409-1000
Fax Number
Provider Enumeration Date
02/25/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11405746 01 CA KAISER
institution
Provider Business Practice Location Address Details
Address
2051 Marengo St
City
Los Angeles
State
California
Zip
90033-1352
Phone Number
323-409-1000
Fax Number
person
Provider Business Mailing Address Details
Address
2051 Marengo St
City
Los Angeles
State
California
Zip
90033-1352
Phone Number
323-409-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
163WM0705X
License No.
95155200 (California)
Definition
Definition to come...
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