Tavera, Jessica

Tavera, Jessica is an sole proprietor health care provider with primary practice located at 2594 Industry Way , Lynwood CA 90262-4015. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Tavera, Jessica can be contacted via phone (310) 667-4071.

Contact Information

Primary practice address
2594 Industry Way Lynwood CA 90262-4015
Phone: (310) 667-4071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1427364199
LBN Legal business name Tavera, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2010
Last updated Jun 1st, 2023 - about 2 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.

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