Individual provider · Type 1 NPI

Brennan Whitley

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

NPI number 1053715656 Active

Practice location

1301 Pine Ave
Long Beach, CA 90813-3124

Fax (562) 426-4661

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 1053715656

Brennan Whitley's National Provider Identifier is 1053715656, issued on Oct 10, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Long Beach, CA. The record was last updated on Jul 21, 2022.