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Jaime Banuelos

NPI 1518614338 · on the registry since 2022 · sole proprietor

Practice

Address
3125 N Broadway
Los Angeles, CA 90031
Phone
(213) 215-3017
Organisation at this address
Telecare Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
98

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-03-02

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