Individual provider · Type 1 NPI

Josue Fraga

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1720962848 Active

Practice location

1731 E 120th St
Los Angeles, CA 90059-3051

Call (323) 568-3347 Map

Mailing address

5029 Elmwood Ave Apt 20
Los Angeles, CA 90004-1551

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 1720962848

Josue Fraga's National Provider Identifier is 1720962848, issued on Aug 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 1, 2025.