Individual provider · Type 1 NPI

Theron Dean Page Jr.

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

NPI number 1932020732 Active

Practice location

1968 S Coast Hwy Ste 1390
Laguna Beach, CA 92651-3681

Call (800) 430-4490 Map

Mailing address

18450 Arminta St Apt 108
Reseda, CA 91335-2015

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 1932020732

Theron Dean Page Jr.'s National Provider Identifier is 1932020732, issued on Jul 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Laguna Beach, CA. The record was last updated on Jul 25, 2026.