Individual provider · Type 1 NPI

Jackie Guan

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

NPI number 1750265575 Active

Practice location

50 Acacia Ave
San Rafael, CA 94901-2230

Call (415) 457-4440 Map

Mailing address

7711 Praline Way
Elk Grove, CA 95758-9563

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 1750265575

Jackie Guan's National Provider Identifier is 1750265575, issued on Aug 4, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Rafael, CA. The record was last updated on Aug 4, 2025.