Individual provider · Type 1 NPI

Brant Coolidge

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

NPI number 1225893480 Active

Practice location

222 Carmen Ln Ste 105
Santa Maria, CA 93458-7776

Mailing address

PO Box 2337
Santa Maria, CA 93457-2337

Other practice locations

  • 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 · (805) 461-6081

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.

2 other providers at this address

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About NPI 1225893480

Brant Coolidge's National Provider Identifier is 1225893480, issued on Feb 16, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Maria, CA. The record was last updated on Aug 21, 2026.