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Cornell Jefferson
NPI 1013803709 · on the registry since 2025 · sole proprietor
Practice
- Address
- 6201 W 87th St # 2681
Los Angeles, CA 90045 - Phone
- (818) 963-0079
- Organisation at this address
- Jefferson Homes Sls, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California