Individual provider · Type 1 NPI

Jacob Gorham

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

NPI number 1407671282 Active

Practice location

1722 S Lewis Rd
Camarillo, CA 93012-8520

Call (805) 366-4040 Map

Mailing address

120 Cremona Dr Ste 220
Goleta, CA 93117-3172

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
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 1407671282

Jacob Gorham's National Provider Identifier is 1407671282, issued on Nov 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Camarillo, CA. The record was last updated on Jan 16, 2025.