Individual provider · Type 1 NPI

Stephanie Marie Durazo

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

NPI number 1215808274 Active

Practice location

16111 Plummer St
North Hills, CA 91343-2036

Call (818) 891-7711 Map

Fax (818) 895-9509

Mailing address

865 Castle Way Ct
Port Hueneme, CA 93041-3161

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 1215808274

Stephanie Marie Durazo's National Provider Identifier is 1215808274, issued on Sep 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in North Hills, CA. The record was last updated on Sep 15, 2025.