Individual provider · Type 1 NPI
Aliza Autumn Jeong
Student in an Organized Health Care Education/Training Program · Altadena, CA
NPI number
1538045109
Active
Practice location
1725 Harding Ave
Altadena, CA 91001-3607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1538045109
Aliza Autumn Jeong's National Provider Identifier is 1538045109, issued on Aug 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Altadena, CA. The record was last updated on Aug 11, 2025.