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NPI Code Detail

MEDICARE: JAZMIN ANTONIETA ARREDONDO

MEDICARE:   JAZMIN ANTONIETA ARREDONDO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist141902CA
2106H00000XMarriage & Family Therapist160591CA

General Provider Information

NPI Number : 1770073959
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAZMIN ANTONIETA ARREDONDO
Provider Business Mailing Address
First Line : 2640 INDUSTRY WAY STE B
Second Line :
City : LYNWOOD
State : CA
Zip : 90262-4285
Country : US
Telephone Number : 323-907-0365
Fax Number :
Provider Business Practice Location Address
First Line : 2640 INDUSTRY WAY STE B
Second Line :
City : LYNWOOD
State : CA
Zip : 90262-4285
Country : US
Telephone Number : 323-907-0365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2018
Last Update Date : 01/09/2026

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Directions to “ JAZMIN ANTONIETA ARREDONDO ” Practice Location

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