Individual provider · Type 1 NPI

Jennifer Pelliconi

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

NPI number 1932070885 Active

Practice location

12450 Van Nuys Blvd Ste 200
Pacoima, CA 91331-1393

Call (818) 896-1161 Map

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 1932070885

Jennifer Pelliconi's National Provider Identifier is 1932070885, issued on Sep 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pacoima, CA. The record was last updated on Sep 15, 2025.