Individual provider · Type 1 NPI

Carol Anne State

Student in an Organized Health Care Education/Training Program · Santa Fe Springs, CA

NPI number 1619767647 Active

Practice location

13210 Florence Ave
Santa Fe Springs, CA 90670-4510

Call (562) 574-2637 Map

Fax (213) 533-1066

Mailing address

1903 N Lindenholz St
Orange, CA 92865-4535

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 1619767647

Carol Anne State's National Provider Identifier is 1619767647, issued on May 12, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Fe Springs, CA. The record was last updated on Sep 10, 2026.