Individual provider · Type 1 NPI

Luisa Fernanda Canon Garzon

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

NPI number 1649564345 Active

Practice location

695 S Vermont Ave, 15th Floor
Los Angeles, CA 90005-1349

Mailing address

2255 Green Oak Ct
Thousand Oaks, CA 91362-5313

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 1649564345

Luisa Fernanda Canon Garzon's National Provider Identifier is 1649564345, issued on May 31, 2011. 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 May 31, 2011.