Jackson Irving Nol
Emergency Medical Technician, Basic in Los Angeles, CA. Individual provider (NPI-1).
NPI number1740189448
StatusActive
Last updated in NPPESNov 2, 2026
Details
- NPI
- 1740189448
- Entity type
- Individual (NPI-1)
- Name
- Jackson Irving Nol
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2026
- Certification date
- Nov 2, 2026
- Last updated
- Nov 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 146N00000X | Emergency Medical Technician, Basic | E172312 | CA | Yes |
Practice location
757 Westwood PlzLos Angeles, CA 90095-8358
Phone 310-849-0955
Mailing address
137 1/2 S Bedford DrBeverly Hills, CA 90212-2215
Phone 310-849-0955
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