Individual provider · Type 1 NPI

Preston Charles Nibley

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

NPI number 1073421202 Active

Practice location

PO Box 951720
Los Angeles, CA 90095-1720

Mailing address

6401 Wilshire Blvd Apt 1201C
Los Angeles, CA 90048-4979

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 1073421202

Preston Charles Nibley's National Provider Identifier is 1073421202, issued on Aug 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 29, 2026.