Jorge Beanato
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · San Pedro, CA
NPI 1669928701 · NPPES record last updated Aug 29, 2016
Key facts
- NPI
- 1669928701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1891 N Gaffey St
Suite 228
San Pedro, CA 90731-1267 - Phone
- (310) 514-5500
- NPI assigned
- Aug 29, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1891 N Gaffey St
Suite 228
San Pedro, CA 90731-1267
Mailing address
456 Elm Ave
Long Beach, CA 90802-2426
Phone (562) 437-6717
Other providers in San Pedro, CA
- Ana Bartus
- Darlene Joy Bases-Manick
- Noah Batty
- Daniel Bernard Baune
- Maile Bay Jaques
- Joslyn Beard
- Ryan Beatty
- Carmen Becerra
- Jillian Becker
- Joan Marie Becket
All providers in San Pedro, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.