Individual provider · Type 1 NPI

Roberto James Nelson Balderas-Fowler

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

NPI number 1346823614 Active

Practice location

1000 Veteran Ave Rm 25-57
Los Angeles, CA 90095-1048

Call (310) 825-6110 Map

Mailing address

1000 Veteran Ave Rm 25-57
Los Angeles, CA 90024-2704

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 1346823614

Roberto James Nelson Balderas-Fowler's National Provider Identifier is 1346823614, issued on May 4, 2021. 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 Oct 9, 2024.