Individual provider · Type 1 NPI

Jurian Tyler Edelenbos, DO

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

NPI number 1124967211 Active

Practice location

2315 Stockton Blvd
Sacramento, CA 95817-2201

Call (916) 734-2680 Map

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 1124967211

Jurian Tyler Edelenbos, DO's National Provider Identifier is 1124967211, issued on Mar 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Mar 25, 2026.