Individual provider · Type 1 NPI

Clarissa Kaoussarani, PA

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

NPI number 1124896311 Active

Practice location

1075 E Betteravia Rd Ste 201
Santa Maria, CA 93454-7023

Call (805) 621-7644 Map

Other practice locations

  • 1717 Biddle St, St. Louis, MO 63106-3454 · (314) 814-8700

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
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 1124896311

Clarissa Kaoussarani, PA's National Provider Identifier is 1124896311, issued on Dec 18, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Maria, CA. The record was last updated on Dec 18, 2023.