Individual provider · Type 1 NPI

Victoria Jade Lussenheide

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

NPI number 1366867178 Active

Practice location

2220 Girard St
San Jacinto, CA 92583-5301

Call (951) 683-6596 Map

Mailing address

5870 Arlington Ave
Riverside, CA 92504-2037

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 1366867178

Victoria Jade Lussenheide's National Provider Identifier is 1366867178, issued on Mar 3, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Jacinto, CA. The record was last updated on Jan 19, 2026.