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

Mr. Jacob Reynoso, RN

Individual provider Registered Nurse · NPI 1316795917

Mr. Jacob Reynoso, RN is a Registered Nurse in Gardena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1225 W 190th St
Gardena, CA 90248-4320
Phone: (424) 354-7703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 95167544 (CA)

Record details

NPI number1316795917
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedMay 8, 2024
Last updated in NPPESMay 8, 2024
Certification dateApril 22, 2024

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