Individual provider · Type 1 NPI

Kimberly Parra

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

NPI number 1114620796 Active

Practice location

1100 North State St, Clinic Tower A7D
Los Angeles, CA 90033

Call (619) 796-8943 Map

Mailing address

1100 N State Street, Clinic Tower A7D
Los Angeles, CA 90033-1029

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X13758 (CA)

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 1114620796

Kimberly Parra's National Provider Identifier is 1114620796, issued on Mar 23, 2023. 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 Jan 14, 2024.