Individual provider · Type 1 NPI

Shrena Desai

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

NPI number 1003761685 Active

Practice location

800 N State College Blvd
Fullerton, CA 92831-3547

Call (657) 278-2011 Map

Mailing address

4566 Fairway Dr
Rohnert Park, CA 94928-1410

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1003761685

Shrena Desai's National Provider Identifier is 1003761685, issued on Feb 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fullerton, CA. The record was last updated on Feb 28, 2026.