Individual provider · Type 1 NPI

Breana Leticia Banuelos

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

NPI number 1013656271 Active

Practice location

200 Michigan Ave
Vista, CA 92084-5424

Call (760) 726-4000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Rehabilitation Practitioner 225400000XNone 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 1013656271

Breana Leticia Banuelos's National Provider Identifier is 1013656271, issued on Jun 3, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Vista, CA. The record was last updated on Sep 3, 2025.