Individual provider · Type 1 NPI

William Richard Teresa

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

NPI number 1629949706 Active

Practice location

4401 Elenda St
Culver City, CA 90230-4101

Call (310) 664-7788 Map

Mailing address

2402 4th St Apt 4
Santa Monica, CA 90405-3662

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 1629949706

William Richard Teresa's National Provider Identifier is 1629949706, issued on Sep 13, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Culver City, CA. The record was last updated on Sep 13, 2025.