Individual provider · Type 1 NPI

Chanel Boal

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

NPI number 1073089744 Active

Practice location

762 Cypress St
San Dimas, CA 91773-3505

Call (909) 599-1227 Map

Other practice locations

  • 9500 Haven Ave Ste 100, Rancho Cucamonga, CA 91730-5871 · (909) 980-6700

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
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 1073089744

Chanel Boal's National Provider Identifier is 1073089744, issued on Oct 19, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Dimas, CA. The record was last updated on Sep 9, 2020.