Individual provider · Type 1 NPI

Emanuel Alexander Vidal

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

NPI number 1760044127 Active

Practice location

762 Cypress St
San Dimas, CA 91773-3505

Call (909) 599-1227 Map

Other practice locations

  • 29019 Carillo Ct, Moreno Valley, CA 92555-6501 · (951) 488-0611

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
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 1760044127

Emanuel Alexander Vidal's National Provider Identifier is 1760044127, issued on Jul 5, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Dimas, CA. The record was last updated on Oct 2, 2019.