Individual provider · Type 1 NPI

Julienne-Pearl Lusung

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

NPI number 1104784966 Active

Practice location

108 W Victoria St
Gardena, CA 90248-3523

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 1104784966

Julienne-Pearl Lusung's National Provider Identifier is 1104784966, issued on Jan 12, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gardena, CA. The record was last updated on Jan 12, 2026.