Individual provider · Type 1 NPI

Moss Grand

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

NPI number 1942108592 Active

Practice location

1898 Business Center Dr
San Bernardino, CA 92408-3457

Call (909) 379-7572 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 1942108592

Moss Grand's National Provider Identifier is 1942108592, issued on Oct 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Bernardino, CA. The record was last updated on Oct 26, 2026.