Individual provider · Type 1 NPI

Mary Goodarzi, M.A.

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

NPI number 1174861264 Active

Practice location

1339 20th St
Santa Monica, CA 90404-2033

Mailing address

32 Sweet Bay
Irvine, CA 92603

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 1174861264

Mary Goodarzi, M.A.'s National Provider Identifier is 1174861264, issued on Jan 23, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Monica, CA. The record was last updated on Aug 16, 2016.