Individual provider · Type 1 NPI

Nicole Kazue Shintaku

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

NPI number 1609799147 Active

Practice location

840 N Avenue 66
Los Angeles, CA 90042-1508

Call (626) 395-7100 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 1609799147

Nicole Kazue Shintaku's National Provider Identifier is 1609799147, issued on Aug 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 1, 2026.