Individual provider · Type 1 NPI

Andrea Banuelos Mota, MD

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

NPI number 1184201006 Active

Practice location

1920 Colorado Ave
Santa Monica, CA 90404-3414

Call (310) 319-4700 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 1184201006

Andrea Banuelos Mota, MD's National Provider Identifier is 1184201006, issued on Mar 26, 2021. 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 Oct 15, 2024.