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Jorge Beanato

Student in an Organized Health Care Education/Training Program in San Pedro, CA. Individual provider (NPI-1).

NPI number1669928701
StatusActive
Last updated in NPPESAug 29, 2016

Details

NPI
1669928701
Entity type
Individual (NPI-1)
Name
Jorge Beanato
Sex
Male
Sole proprietor
No
Enumeration date
Aug 29, 2016
Last updated
Aug 29, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1891 N Gaffey St
Suite 228
San Pedro, CA 90731-1267

Phone 310-514-5500

Mailing address

456 Elm Ave
Long Beach, CA 90802-2426

Phone 562-437-6717

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Other Student in an Organized Health Care Education/Training Program providers in San Pedro, CA

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