Individual provider · Type 1 NPI

Marina Basta, STUDENT

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

NPI number 1104408442 Active

Practice location

18646 Oxnard St
Tarzana, CA 91356-1411

Call (818) 654-3908 Map

Mailing address

25922 Spencer Ct
Calabasas, CA 91302-3167

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 1104408442

Marina Basta, STUDENT's National Provider Identifier is 1104408442, issued on Apr 26, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tarzana, CA. The record was last updated on Apr 26, 2021.