Individual provider · Type 1 NPI

Andi Diaz Calderon

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

NPI number 1104739994 Active

Practice location

11852 Mount Vernon Ave Apt 523
Grand Terrace, CA 92313-8306

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 1104739994

Andi Diaz Calderon's National Provider Identifier is 1104739994, issued on Sep 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Terrace, CA. The record was last updated on Sep 23, 2026.