Individual provider · Type 1 NPI

Alyssa Mediavilla

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

NPI number 1861331795 Active

Practice location

1601 W Avenue J
Lancaster, CA 93534-2824

Call (818) 741-2906 Map

Mailing address

50 Blackbird St
Edwards, CA 93523-2614

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 1861331795

Alyssa Mediavilla's National Provider Identifier is 1861331795, issued on Mar 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lancaster, CA. The record was last updated on Mar 26, 2026.