NPI 1013803709

Cornell Jefferson

Practitioner Non-emergency Medical Transport (VAN) Los Angeles, CA

Practice location

Address: 6201 W 87th St # 2681, Los Angeles, CA 90045-3901
Phone: (818) 963-0079

Registered specialties

Non-emergency Medical Transport (VAN) Primary

Transportation Services Taxonomy 343900000X Licence 8BDF553 (CA)

Other Non-emergency Medical Transport (VAN) providers in California →

Registry record

NPI: 1013803709
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2025
Record last updated: 17 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.