JONATHAN PAK NPI 1053238535

NPI Information

  • NPI: 1053238535
  • Provider Name: JONATHAN PAK
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 2001 SANTA MONICA BLVD STE 100W
    SANTA MONICA, CA
    ZIP 90404
  • Phone: (310) 496-7555

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NPI Details

Jonathan Pak is a student in an organized health care education training program in Santa Monica, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jonathan Pak NPI is 1053238535. The provider is registered as an individual entity type.

The provider's business location address is:

2001 SANTA MONICA BLVD STE 100W
SANTA MONICA, CA
ZIP 90404-176
Phone: (310) 496-7555

The enumeration date for this NPI number is 7/3/2026 and was last updated on 7/3/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training Program51133CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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