Individual provider · Type 1 NPI

Pete Petriashvili

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1306177654 Active

Practice location

11301 Wilshire Blvd, Building 500, Room 4455
Los Angeles, CA 90073

Call (310) 562-2015 Map

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 1306177654

Pete Petriashvili's National Provider Identifier is 1306177654, issued on Jan 27, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 27, 2010.