Individual provider · Type 1 NPI

Katherine Ann Di Leo, DDS

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

NPI number 1821742685 Active

Practice location

5901 E 7th St Bldg 1652nd
Long Beach, CA 90822-5201

Mailing address

5175 Montreal Dr
San Jose, CA 95130-2241

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 1821742685

Katherine Ann Di Leo, DDS's National Provider Identifier is 1821742685, issued on Feb 9, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Long Beach, CA. The record was last updated on Feb 9, 2022.