Individual provider · Type 1 NPI

Alex Joseph Fortin

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

NPI number 1417611583 Active

Practice location

34141 Farenholt Ave
San Diego, CA 92134-7000

Call (619) 532-7968 Map

Mailing address

5423 Lake Murray Blvd Apt 14
La Mesa, CA 91942-1552

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 1417611583

Alex Joseph Fortin's National Provider Identifier is 1417611583, issued on Oct 26, 2021. 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 Oct 26, 2021.