Individual provider · Type 1 NPI

Peaceful Land

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

NPI number 1013896026 Active

Practice location

3073 Collura St
San Diego, CA 92105-4865

Fax (619) 399-3724

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XASW141605 (CA)
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 1013896026

Peaceful Land's National Provider Identifier is 1013896026, issued on Sep 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Sep 17, 2026.