Individual provider · Type 1 NPI

Ivan Alejandro Mercado Pena

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

NPI number 1053036509 Active

Practice location

3530 Camino Del Rio N Ste 300
San Diego, CA 92108-1746

Call (619) 282-8211 Map

Fax (619) 282-1300

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Mental Health Counselor 101YM0800XNone 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 1053036509

Ivan Alejandro Mercado Pena's National Provider Identifier is 1053036509, issued on Oct 6, 2022. 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 Aug 26, 2024.