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NPI Code Detail

MEDICARE: JACLYN LAYSON

MEDICARE: JACLYN LAYSON
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
1163WS0200XSchool Registered Nurse95159506CA

General Provider Information

NPI Number : 1194656215
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACLYN LAYSON
Provider Business Mailing Address
First Line : 3703 MAINE AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-1157
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2335 PLAZA DEL AMO
Second Line :
City : TORRANCE
State : CA
Zip : 90501-3420
Country : US
Telephone Number : 323-474-2753
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ JACLYN LAYSON ” Practice Location

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