Individual provider · Type 1 NPI

Elijah J. Grant

Student in an Organized Health Care Education/Training Program · South Pasadena, CA

NPI number 1710845508 Active

Practice location

205 Pasadena Ave
South Pasadena, CA 91030-2919

Call (626) 755-7710 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 1710845508

Elijah J. Grant's National Provider Identifier is 1710845508, issued on Jan 12, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Pasadena, CA. The record was last updated on Jan 12, 2026.