Individual provider · Type 1 NPI

Olivia J. Parks

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

NPI number 1881541746 Active

Practice location

1250 Morena Blvd
San Diego, CA 92110-3815

Mailing address

1728 Diamond St Apt 2
San Diego, CA 92109-3364

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 1881541746

Olivia J. Parks's National Provider Identifier is 1881541746, issued on Mar 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Mar 24, 2026.