Individual provider · Type 1 NPI

Samuel E. Mizyed

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

NPI number 1003634049 Active

Practice location

1080 Marina Village Pkwy Ste 100
Alameda, CA 94501-1078

Call (510) 337-7950 Map

Mailing address

1479 Marlin Ave
Foster City, CA 94404-1448

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 1003634049

Samuel E. Mizyed's National Provider Identifier is 1003634049, issued on Sep 30, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Alameda, CA. The record was last updated on Sep 12, 2025.