Individual provider · Type 1 NPI

Jake Loitz

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

NPI number 1588291306 Active

Practice location

975 Sereno Drive, Family Medicine Department
Vallejo, CA 94589-2441

Call (707) 651-4071 Map

Mailing address

1822 Francisco St Apt 22
Berkeley, CA 94703-1352

Specialties and licenses

TaxonomyCodeLicense
Podiatric Assistant 211D00000XNone listed
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 1588291306

Jake Loitz's National Provider Identifier is 1588291306, issued on Mar 23, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Vallejo, CA. The record was last updated on Mar 23, 2023.