Luis Ventura
Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).
NPI number1013572452
StatusActive
Last updated in NPPESMay 1, 2019
Details
- NPI
- 1013572452
- Entity type
- Individual (NPI-1)
- Name
- Luis Ventura
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2019
- Last updated
- May 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
10833 Le Conte Ave # Chs30131Los Angeles, CA 90095-3075
Phone 310-825-9295
Mailing address
12339 Inglewood AveHawthorne, CA 90250-3551
Phone 424-785-9110
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