Individual provider · Type 1 NPI

Jose Trinidad Duran Alcala, STUDENT INTERN

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

NPI number 1215655352 Active

Practice location

2629 Clarendon Ave Fl 2
Huntington Park, CA 90255-4119

Mailing address

4445 Burns Ave
Los Angeles, CA 90029-2702

Other practice locations

  • 4445 Burns Ave, Los Angeles, CA 90029-2702 · (323) 222-1440

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XB00003650924 (CA)
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 1215655352

Jose Trinidad Duran Alcala, STUDENT INTERN's National Provider Identifier is 1215655352, issued on Aug 15, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Huntington Park, CA. The record was last updated on Aug 18, 2025.