Individual provider · Type 1 NPI

Vanessa Beatriz Kusisto, MD

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

NPI number 1053052829 Active

Practice location

700 Lawrence Expy
Santa Clara, CA 95051-5173

Mailing address

2548 Sandhill Way
Santa Clara, CA 95051-1244

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 1053052829

Vanessa Beatriz Kusisto, MD's National Provider Identifier is 1053052829, issued on Apr 5, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Clara, CA. The record was last updated on Dec 11, 2024.