Individual provider · Type 1 NPI

Bryan Alexis Henriquez, MD

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

NPI number 1992639678 Active

Practice location

4816 E 3rd St
Los Angeles, CA 90022-1602

Call (323) 780-4510 Map

Mailing address

5825 Viking Way
Palmdale, CA 93552-3313

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 1992639678

Bryan Alexis Henriquez, MD's National Provider Identifier is 1992639678, issued on Jun 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 9, 2026.