Individual provider · Type 1 NPI

Angel Lewis Bermudez

Student in an Organized Health Care Education/Training Program · San Fernando, CA

NPI number 1295416774 Active

Practice location

566 S Brand Blvd
San Fernando, CA 91340-4002

Mailing address

682 Irolo St Apt 608
Los Angeles, CA 90005-2353

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 1295416774

Angel Lewis Bermudez's National Provider Identifier is 1295416774, issued on Jul 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Fernando, CA. The record was last updated on Jul 27, 2023.