Individual provider · Type 1 NPI

Stassja Gaelya Sichko, MA

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

NPI number 1104556729 Active

Practice location

221 Westwood Plaza
Los Angeles, CA 90095-0001

Call (310) 825-0768 Map

Mailing address

2400 Beverley Ave Apt 15
Santa Monica, CA 90405-3753

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 1104556729

Stassja Gaelya Sichko, MA's National Provider Identifier is 1104556729, issued on Jun 15, 2022. 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 Jun 15, 2022.