Individual provider · Type 1 NPI

Samuel Carvajal Moreno Jr.

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

NPI number 1639749922 Active

Practice location

700 N Johnson Ave Ste P
El Cajon, CA 92020-2589

Call (619) 441-1907 Map

Other practice locations

  • 310 3rd Ave Ste B8, Chula Vista, CA 91910-3990 · (855) 223-7123

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone 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 1639749922

Samuel Carvajal Moreno Jr.'s National Provider Identifier is 1639749922, issued on Jun 29, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in El Cajon, CA. The record was last updated on Jul 16, 2026.