Jaxsen Ball

NPI #1134087588 in Lynwood, California

Provider Information

NPI Number: 1134087588
Entity Type: Individual
Name: Jaxsen Ball
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jan 14, 2026
Last Updated: Jan 14, 2026

Practice Location

Address: 2610 INDUSTRY WAY STE A
City: Lynwood
State: California
ZIP Code: 90262-4028
Phone: (310) 631-8004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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