Individual provider · Type 1 NPI
Nicholas Mazzuca
Student in an Organized Health Care Education/Training Program · Poway, CA
NPI number
1013851807
Active
Practice location
16937 Valle Verde Rd
Poway, CA 92064-1209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1013851807
Nicholas Mazzuca's National Provider Identifier is 1013851807, issued on Apr 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Poway, CA. The record was last updated on Apr 14, 2026.