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NPI Code Detail

MEDICARE: JASMIN BARAJAS

MEDICARE: JASMIN BARAJAS
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
1172V00000XCommunity Health Worker
21041C0700XClinical Social Worker131515CA
3225400000XRehabilitation Practitioner
4390200000XStudent in an Organized Health Care Education/Training Program
5171M00000XCase Manager/Care Coordinator
6373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1275013625
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMIN BARAJAS
Provider Business Mailing Address
First Line : 2640 INDUSTRY WAY
Second Line :
City : LYNWOOD
State : CA
Zip : 90262-4284
Country : US
Telephone Number : 424-213-1150
Fax Number :
Provider Business Practice Location Address
First Line : 2640 INDUSTRY WAY
Second Line :
City : LYNWOOD
State : CA
Zip : 90262-4284
Country : US
Telephone Number : 424-213-1150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2018
Last Update Date : 12/02/2025

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Directions to “ JASMIN BARAJAS ” Practice Location

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