Individual provider · Type 1 NPI

Christian Mark Epilogo Agatep

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

NPI number 1174147904 Active

Practice location

1200 N State St, Clinic Tower, Suite A7D
Los Angeles, CA 90033-1029

Mailing address

98 S Los Robles Ave
Pasadena, CA 91101-2433

Other practice locations

  • 98 S Los Robles Ave, Pasadena, CA 91101-2433 · (888) 576-3348

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 1174147904

Christian Mark Epilogo Agatep's National Provider Identifier is 1174147904, issued on Jun 8, 2020. 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 May 9, 2024.