Individual
JEFFREY LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11257 NATIONAL BLVD, LOS ANGELES, CA 90064-3921
(310) 800-4438
(310) 495-0808
Mailing address
11257 NATIONAL BLVD, LOS ANGELES, CA 90064-3921
(310) 800-4438
(310) 495-0808
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194700586
NON MEDICAL HOME HEALTH AIDES
CA
Enumeration date
03/18/2019
Last updated
03/18/2019
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