Individual provider · Type 1 NPI

David Connelly

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

NPI number 1033020995 Active

Practice location

601 S Brand Blvd Ste 110
San Fernando, CA 91340-4039

Call (818) 714-2275 Map

Fax (818) 279-0784

Mailing address

11137 Califa St
North Hollywood, CA 91601-1304

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 1033020995

David Connelly's National Provider Identifier is 1033020995, issued on Sep 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Fernando, CA. The record was last updated on Sep 16, 2026.