Healthcare Provider Details

I. General information

NPI: 1417895772
Provider Name (Legal Business Name): JAIME LYNN NATOLI MS, LCGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

294 W MONTERREY DR
CLAREMONT CA
91711-1742
US

IV. Provider business mailing address

294 W MONTERREY DR
CLAREMONT CA
91711-1742
US

V. Phone/Fax

Practice location:
  • Phone: 323-608-0406
  • Fax:
Mailing address:
  • Phone: 323-608-0406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGC001995
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: