Individual provider · Type 1 NPI

Christian David Le Moss

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

NPI number 1104735422 Active

Practice location

530 Soquel Ave
Santa Cruz, CA 95062-2301

Call (831) 426-7322 Map

Mailing address

29 Kingfisher Dr
Watsonville, CA 95076-6627

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 1104735422

Christian David Le Moss's National Provider Identifier is 1104735422, issued on Sep 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Cruz, CA. The record was last updated on Sep 2, 2026.