Individual provider · Type 1 NPI

Jessica Antonio

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

NPI number 1487581310 Active

Practice location

9808 Venice Blvd Ste 700
Culver City, CA 90232-6824

Call (310) 945-3350 Map

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 1487581310

Jessica Antonio's National Provider Identifier is 1487581310, issued on May 5, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Culver City, CA. The record was last updated on May 5, 2026.