Individual provider · Type 1 NPI

Blake Mosher

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

NPI number 1124967880 Active

Practice location

3020 Childrens Way
San Diego, CA 92123-4223

Call (858) 576-1700 Map

Mailing address

17635 Black Oak Ct
Morgan Hill, CA 95037-9442

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 1124967880

Blake Mosher's National Provider Identifier is 1124967880, issued on Mar 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Mar 27, 2026.