Individual provider · Type 1 NPI
John Perdomo, PSYCHOLOGIST
Student in an Organized Health Care Education/Training Program · Ione, CA
NPI number
1245985142
Active
Practice location
4001 Ca 104 Hwy
Ione, CA 95640
Mailing address
12736 Cordyline Way
Rancho Cordova, CA 95742-6726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1245985142
John Perdomo, PSYCHOLOGIST's National Provider Identifier is 1245985142, issued on Feb 18, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ione, CA. The record was last updated on Feb 18, 2022.