Individual provider · Type 1 NPI

Nicholas Putrasahan

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

NPI number 1376480780 Active

Practice location

1262 Campus Street
Loma Linda, CA 92350-0001

Call (909) 558-1000 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 1376480780

Nicholas Putrasahan's National Provider Identifier is 1376480780, issued on May 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Loma Linda, CA. The record was last updated on May 2, 2026.