Individual provider · Type 1 NPI

Jack Maekawa

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

NPI number 1184531204 Active

Practice location

795 E 2nd St, Pomona, Ca 91766
Pomona, CA 91766-2007

Call (190) 962-3611 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 1184531204

Jack Maekawa's National Provider Identifier is 1184531204, issued on Aug 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pomona, CA. The record was last updated on Aug 25, 2026.