Individual provider · Type 1 NPI

Selom Gbewonyo

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

NPI number 1972226199 Active

Practice location

21201 Victory Blvd Ste 205
Canoga Park, CA 91303-4056

Call (888) 428-3223 Map

Mailing address

1731 E 120th St
Los Angeles, CA 90059-3051

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
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.

1,484 other providers at this address

Other student in an organized health care education/training program providers in Canoga Park

See all in Canoga Park →

About NPI 1972226199

Selom Gbewonyo's National Provider Identifier is 1972226199, issued on Sep 22, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Canoga Park, CA. The record was last updated on Aug 7, 2025.