Individual provider · Type 1 NPI

David Ryan Gielicz

Student in an Organized Health Care Education/Training Program · Culver City, CA

NPI number 1336023662 Active

Practice location

9808 Venice Blvd
Culver City, CA 90232-2732

Mailing address

1523 19th St Apt 2
Santa Monica, CA 90404-3463

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 1336023662

David Ryan Gielicz's National Provider Identifier is 1336023662, issued on Jul 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Culver City, CA. The record was last updated on Jul 31, 2025.