Individual provider · Type 1 NPI

Nicole Sophia Dersahakian

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

NPI number 1184557977 Active

Practice location

12100 Shadow Ridge Way
Porter Ranch, CA 91326-3827

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 1184557977

Nicole Sophia Dersahakian's National Provider Identifier is 1184557977, issued on Jun 3, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Porter Ranch, CA. The record was last updated on Jun 3, 2026.