Individual provider · Type 1 NPI

Ethan Lee

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

NPI number 1801736996 Active

Practice location

17234 Valley Blvd, Building A
Fontana, CA 92335-6720

Call (909) 427-4128 Map

Fax (909) 427-6288

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 1801736996

Ethan Lee's National Provider Identifier is 1801736996, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fontana, CA. The record was last updated on Mar 30, 2026.