Individual provider · Type 1 NPI

Ezra Sage Werthan

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

NPI number 1679459374 Active

Practice location

2655 Camino Del Rio N Ste 450
San Diego, CA 92108-1603

Call (858) 633-4115 Map

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 1679459374

Ezra Sage Werthan's National Provider Identifier is 1679459374, issued on Aug 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Aug 15, 2025.