Individual provider · Type 1 NPI

Ethan Missaghi

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

NPI number 1497698039 Active

Practice location

38600 Medical Center Dr
Palmdale, CA 93551-4483

Call (661) 382-6353 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 1497698039

Ethan Missaghi's National Provider Identifier is 1497698039, issued on Apr 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Palmdale, CA. The record was last updated on Apr 30, 2026.