Individual provider · Type 1 NPI

Matthew John Scanlin

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

NPI number 1689187445 Active

Practice location

5555 Del Mar Heights Rd
San Diego, CA 92130-1368

Call (209) 770-3440 Map

Mailing address

5485 55th St Apt 7C
San Diego, CA 92115-1260

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300XNone 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 1689187445

Matthew John Scanlin's National Provider Identifier is 1689187445, issued on Nov 14, 2017. 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 Nov 14, 2017.