Individual provider · Type 1 NPI

Joseph Henry Provost

Student in an Organized Health Care Education/Training Program · Santa Ana, CA

NPI number 1386504843 Active

Practice location

1560 Brookhollow Dr Ste 214
Santa Ana, CA 92705-5411

Call (714) 386-9171 Map

Mailing address

330 W Ocean Blvd Apt 110
Long Beach, CA 90802-4651

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 1386504843

Joseph Henry Provost's National Provider Identifier is 1386504843, issued on Nov 17, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Ana, CA. The record was last updated on Nov 17, 2025.