Individual provider · Type 1 NPI

Paul Alan Van Antwerp

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

NPI number 1336036755 Active

Practice location

98 S Los Robles Ave
Pasadena, CA 91101-2433

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 1336036755

Paul Alan Van Antwerp's National Provider Identifier is 1336036755, issued on Jun 19, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pasadena, CA. The record was last updated on Jun 19, 2025.