Individual provider · Type 1 NPI

Elyssa Lass

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

NPI number 1073403671 Active

Practice location

3900 Lomaland Dr
San Diego, CA 92106-2810

Call (619) 849-2200 Map

Mailing address

40133 Belvedere Ct
Murrieta, CA 92562-4795

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300XNone 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 1073403671

Elyssa Lass's National Provider Identifier is 1073403671, issued on Jul 7, 2025. 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 Jul 7, 2025.