Individual provider · Type 1 NPI

Laura Rose De la Casas

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

NPI number 1699680298 Active

Practice location

3924 Riverview Dr
Jurupa Valley, CA 92509-6611

Call (951) 360-4175 Map

Fax (951) 683-0339

Mailing address

2085 Rustin Ave Ste 1
Riverside, CA 92507-2498

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 1699680298

Laura Rose De la Casas's National Provider Identifier is 1699680298, issued on Aug 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jurupa Valley, CA. The record was last updated on Aug 20, 2026.