Individual provider · Type 1 NPI

Alexxa Jade Perdomo

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

NPI number 1457204083 Active

Practice location

1 Harpst St
Arcata, CA 95521-8222

Call (707) 826-3011 Map

Mailing address

1974 Birkdale Ave
Upland, CA 91784-7975

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 1457204083

Alexxa Jade Perdomo's National Provider Identifier is 1457204083, issued on Feb 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Arcata, CA. The record was last updated on Feb 14, 2026.