Individual provider · Type 1 NPI

Nathan Wong

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

NPI number 1750819694 Active

Practice location

18646 Oxnard St
Tarzana, CA 91356-1411

Mailing address

885 Park View Ter
Glendora, CA 91741-2442

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 1750819694

Nathan Wong's National Provider Identifier is 1750819694, issued on May 23, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tarzana, CA. The record was last updated on May 23, 2017.