Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prototypes

Organization Licensed Vocational Nurse · NPI 1659654986

Prototypes is a Licensed Vocational Nurse in Pasadena, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

2555 E Colorado Blvd Ste 100-101
Pasadena, CA 91107
Phone: (626) 577-2543
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence VN240811 (CA)

Record details

NPI number1659654986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffery Havig — Psychiatric Nurse · (909) 398-4383
NPI enumeratedSeptember 22, 2011
Last updated in NPPESJune 28, 2013
Mailing address831 East Arrow Highway, Pomona, CA 91767

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