Individual provider · Type 1 NPI

Thomas Michael Carmona Jr.

Student in an Organized Health Care Education/Training Program · Lake Forest, CA

NPI number 1255958849 Active

Practice location

25665 Fallenwood
Lake Forest, CA 92630-6460

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1255958849

Thomas Michael Carmona Jr.'s National Provider Identifier is 1255958849, issued on Jun 29, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lake Forest, CA. The record was last updated on Jun 29, 2020.