JENNIFER TOBON NPI 1720627433

NPI Information

NPI: 1720627433
Provider Name: JENNIFER TOBON
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
566 S BRAND BLVD
SAN FERNANDO, CA
ZIP 91340
Phone: (818) 898-0223
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Jennifer Tobon is a student in an organized health care education training program in San Fernando, 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. Jennifer Tobon NPI is 1720627433. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

566 S BRAND BLVD
SAN FERNANDO, CA
ZIP 91340-002
Phone: (818) 898-0223

The enumeration date for this NPI number is 12/27/2019 and was last updated on 9/15/2023.

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	Primary
1	171M00000X	Case Manager/Care Coordinator	No
2	225400000X	Rehabilitation Practitioner	No
3	390200000X	Student in an Organized Health Care Education/Training Program	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95-2633765	OTHER	CALIFORNIA	MEDI-CAL

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: 5/5/2024

NPI Synchronization or Removal

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