Individual provider · Type 1 NPI
Irving Eduardo Jacobo Gaxiola
Student in an Organized Health Care Education/Training Program · Palm Desert, CA
NPI number
1831063114
Active
Practice location
74699 Technology Dr Apt 1206
Palm Desert, CA 92211-5808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1831063114
Irving Eduardo Jacobo Gaxiola's National Provider Identifier is 1831063114, issued on Oct 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Palm Desert, CA. The record was last updated on Oct 1, 2025.