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

Mr. Cornell Jefferson

Individual provider Non-emergency Medical Transport (VAN) · NPI 1013803709

Mr. Cornell Jefferson is a Non-emergency Medical Transport (VAN) in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

6201 W 87th St # 2681
Los Angeles, CA 90045-3901
Phone: (818) 963-0079
Show map & directions

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

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X · Licence 8BDF553 (CA)

Record details

NPI number1013803709
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 17, 2025
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

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