Individual provider · Type 1 NPI

Lauryn Mineta

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

NPI number 1063278455 Active

Practice location

1918 University Ave Ste 2B
Berkeley, CA 94704-3264

Call (510) 548-9716 Map

Other practice locations

  • 2681 28th Ave, San Francisco, CA 94116-2912 · (415) 681-3211

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 1063278455

Lauryn Mineta's National Provider Identifier is 1063278455, issued on Feb 23, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Berkeley, CA. The record was last updated on Aug 3, 2026.