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

Mr. Jayshell Randale Holts Jr.

Individual provider Case Manager/Care Coordinator · NPI 1134710098

Mr. Jayshell Randale Holts Jr. is a Case Manager/Care Coordinator in Los Angeles, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2122 W 107th St
Los Angeles, CA 90047-4305
Phone: (323) 696-9749
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1134710098
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 2, 2021
Last updated in NPPESFebruary 2, 2021
Certification dateDecember 21, 2020

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