Individual provider · Type 1 NPI
Brandon Michael Petrovich, MD
Student in an Organized Health Care Education/Training Program · San Diego, CA
Practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Mailing address
6543 Clifton Park Cir N Apt 202
New Albany, OH 43054-1168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1366908683
Brandon Michael Petrovich, MD's National Provider Identifier is 1366908683, issued on Feb 11, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on May 6, 2026.