Individual provider · Type 1 NPI

Ricardo Antonio Patlan Jr.

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

NPI number 1114690062 Active

Practice location

18726 S Western Ave
Gardena, CA 90248-3813

Call (310) 856-0800 Map

Fax (855) 568-2494

Mailing address

13931 Van Ness Ave
Gardena, CA 90249-2941

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 1114690062

Ricardo Antonio Patlan Jr.'s National Provider Identifier is 1114690062, issued on Jul 27, 2021. 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 Aug 22, 2024.