Individual provider · Type 1 NPI

Cassidy Edwards

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

NPI number 1477483873 Active

Practice location

12781 Josephine St
Garden Grove, CA 92841-4622

Call (714) 606-0853 Map

Mailing address

19481 Shadow Hill Dr
Yorba Linda, CA 92886-4331

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 1477483873

Cassidy Edwards's National Provider Identifier is 1477483873, issued on May 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Garden Grove, CA. The record was last updated on May 20, 2026.