Individual provider · Type 1 NPI

Cassidy Kotselas, DO

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

NPI number 1700672219 Active

Practice location

1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872

Mailing address

4453 Aragon Dr
San Diego, CA 92115-5911

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 1700672219

Cassidy Kotselas, DO's National Provider Identifier is 1700672219, issued on Apr 19, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Palm Springs, CA. The record was last updated on Apr 19, 2025.