Individual provider · Type 1 NPI

Tanya Elise Kozak

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

NPI number 1649791617 Active

Practice location

2500 E Foothill Blvd Ste 300
Pasadena, CA 91107-7102

Call (626) 993-3000 Map

Mailing address

3219 Altura Ave Apt 8
La Crescenta, CA 91214-3392

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 1649791617

Tanya Elise Kozak's National Provider Identifier is 1649791617, issued on Jun 29, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pasadena, CA. The record was last updated on Jun 29, 2017.