Individual provider · Type 1 NPI

Taquia Evans

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

NPI number 1407705080 Active

Practice location

505 S Pacific Ave
San Pedro, CA 90731-2656

Call (310) 519-8723 Map

Mailing address

2511 W 78th Pl
Inglewood, CA 90305-1129

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 1407705080

Taquia Evans's National Provider Identifier is 1407705080, issued on Jan 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Pedro, CA. The record was last updated on Jan 26, 2026.