Individual provider · Type 1 NPI

Mark A. Michelon

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

NPI number 1790762953 Active

Practice location

2800 L St, Suite 450
Sacramento, CA 95816-5616

Call (916) 454-6744 Map

Mailing address

2210 I St, Apt. 2A
Sacramento, CA 95816-4070

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XINT17092 (CA)

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 1790762953

Mark A. Michelon's National Provider Identifier is 1790762953, issued on Dec 29, 2005. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Jul 13, 2026.