Individual provider · Type 1 NPI

Fernando Mallory

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

NPI number 1043384977 Active

Practice location

1720 E 120th St
Los Angeles, CA 90059-3052

Call (310) 668-4272 Map

Mailing address

13348 Savanna
Tustin, CA 92782-9142

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 1043384977

Fernando Mallory's National Provider Identifier is 1043384977, issued on Nov 20, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.