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

Jasmin Khounthavong

Individual provider Medical-Surgical Registered Nurse · NPI 1962096495

Jasmin Khounthavong is a Medical-Surgical Registered Nurse in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

2051 Marengo St
Los Angeles, CA 90033-1352
Phone: (323) 409-1000
Show map & directions

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

Specialties & licences

Medical-Surgical Registered Nurse (primary) Taxonomy 163WM0705X · Licence 95155200 (CA)

Record details

NPI number1962096495
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 25, 2021
Last updated in NPPESFebruary 25, 2021
Certification dateFebruary 25, 2021

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