NPI 1063703189

Jeffery Verner

Practitioner Student in an Organized Health Care Education/Training Program Gardena, CA

Practice location

Address: 130 W Victoria St, Gardena, CA 90248-3523
Phone: (310) 715-2020
Mailing address: 18208 E Tudor St, Covina, CA 91722-1643

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in California →

Registry record

NPI: 1063703189
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2011
Record last updated: 23 Apr 2011

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.