Individual provider · Type 1 NPI

Kylee Zacharia

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

NPI number 1942040290 Active

Practice location

940 S Coast Dr Ste 260
Costa Mesa, CA 92626-7719

Fax (949) 524-4372

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 1942040290

Kylee Zacharia's National Provider Identifier is 1942040290, issued on May 24, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Costa Mesa, CA. The record was last updated on Jan 11, 2026.