Individual provider · Type 1 NPI

Ivan Paul Leal, ACSW

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

NPI number 1174294920 Active

Practice location

7018 Blair Rd
Calipatria, CA 92233-9633

Mailing address

PO Box 5001
Calipatria, CA 92233-5001

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 1174294920

Ivan Paul Leal, ACSW's National Provider Identifier is 1174294920, issued on Sep 22, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Calipatria, CA. The record was last updated on Sep 19, 2024.