Individual provider · Type 1 NPI

Joseph Andrew Gerondale

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

NPI number 1568099893 Active

Practice location

4647 Zion Ave Ste 1116
San Diego, CA 92120-2507

Call (714) 580-9636 Map

Mailing address

20701 Kelvin Ln
Huntington Beach, CA 92646-5828

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 1568099893

Joseph Andrew Gerondale's National Provider Identifier is 1568099893, issued on Mar 25, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Dec 6, 2021.