Individual provider · Type 1 NPI

Neelamma Venkatashamappa

Student in an Organized Health Care Education/Training Program · Chino, CA

NPI number 1003432774 Active

Practice location

5451 Walnut Ave
Chino, CA 91710-2609

Call (909) 464-8623 Map

Fax (909) 464-8616

Mailing address

8510 Summerdale Rd Apt 29
San Diego, CA 92126-5430

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003432774

Neelamma Venkatashamappa's National Provider Identifier is 1003432774, issued on Jun 18, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chino, CA. The record was last updated on Sep 28, 2022.