Jerden, Maki S

Jerden, Maki S is an individual health care provider with primary practice located at 3330 Lomita Blvd , Torrance CA 90505-5002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jerden, Maki S can be contacted via phone (310) 784-6838.

Contact Information

Primary practice address
3330 Lomita Blvd Torrance CA 90505-5002
Phone: (310) 784-6838
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 19635 California

Profile Details

NPI number 1063476851
LBN Legal business name Jerden, Maki S
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Apr 11th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063476851 NPPES
Connecticut MEDICAID 004258671

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