Individual provider · Type 1 NPI

Kevin Pack

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

NPI number 1831442961 Active

Practice location

2124 Main St, Ste 165
Huntington Beach, CA 92648-2405

Call (714) 536-0077 Map

Mailing address

3611 S Harbor Blvd, Ste 100
Santa Ana, CA 92704-6928

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 1831442961

Kevin Pack's National Provider Identifier is 1831442961, issued on Oct 26, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Huntington Beach, CA. The record was last updated on Oct 26, 2012.