Khounthavong, Jasmin
Khounthavong, Jasmin is an sole proprietor health care provider with primary practice located at 2051 Marengo St , Los Angeles CA 90033-1352. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Khounthavong, Jasmin can be contacted via phone (323) 409-1000.Contact Information
Primary practice address
2051 Marengo St
Los Angeles CA 90033-1352
Phone: (323) 409-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Medical-Surgical | 163WM0705X | 95155200 | California |
Profile Details
| NPI number | 1962096495 |
|---|---|
| LBN Legal business name | Khounthavong, Jasmin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2021 |
| Last updated | Feb 25th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962096495 | NPPES |
| California | Other | 11405746 | KAISER |
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