Individual provider · Type 1 NPI

Jessica Shor

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

NPI number 1710829908 Active

Practice location

1315 25th St
San Diego, CA 92102-2107

Call (619) 233-0067 Map

Fax (619) 233-3990

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 1710829908

Jessica Shor's National Provider Identifier is 1710829908, issued on Apr 7, 2026. 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 Apr 7, 2026.