Yaakov Nachum Etshalom, EMT-B
Emergency Medical Technician, Basic in Los Angeles, CA. Individual provider (NPI-1).
NPI number1194516518
StatusActive
Last updated in NPPESMay 15, 2025
Details
- NPI
- 1194516518
- Entity type
- Individual (NPI-1)
- Name
- Yaakov Nachum Etshalom
- Credential
- EMT-B
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2025
- Certification date
- May 15, 2025
- Last updated
- May 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 146N00000X | Emergency Medical Technician, Basic | 536561 | NY | Yes |
Practice location
1705 S Durango AveLos Angeles, CA 90035-4220
Phone 310-598-8071
Mailing address
1705 S Durango AveLos Angeles, CA 90035-4220
Phone 310-598-8071
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