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Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Berkeley, CA

NPI 1073494811 · NPPES record last updated Sep 9, 2025

Key facts

NPI
1073494811
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1918 University Ave Ste 2B
Berkeley, CA 94704-3264
Phone
(510) 548-9716
NPI assigned
Sep 9, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA Yes

Addresses

Primary practice location

1918 University Ave Ste 2B
Berkeley, CA 94704-3264

Mailing address

1918 University Ave Ste 2B
Berkeley, CA 94704-3264
Phone (510) 548-9716

Other providers in Berkeley, CA

All providers in Berkeley, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.