Individual provider · Type 1 NPI

Matthew Mickle

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

NPI number 1043063530 Active

Practice location

10800 Magnolia Ave
Riverside, CA 92505-3043

Call (833) 574-2273 Map

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 1043063530

Matthew Mickle's National Provider Identifier is 1043063530, issued on Apr 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Riverside, CA. The record was last updated on Apr 21, 2026.