Individual provider · Type 1 NPI

Kassandra Marycela De Matta

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

NPI number 1346836301 Active

Practice location

4423 Long Beach Ave
Los Angeles, CA 90058-1922

Call (323) 360-2893 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 1346836301

Kassandra Marycela De Matta's National Provider Identifier is 1346836301, issued on Dec 14, 2020. 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 Dec 14, 2020.