DAKOTA MATTHEW SOMMERS NEEL SF IDC STUDENT NPI 1184379794

NPI Information

Dakota Matthew Sommers Neel, SF IDC STUDENT is a student in an organized health care education training program in San Diego, CA. The provider is 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. Dakota Matthew Sommers Neel, SF IDC STUDENT NPI is 1184379794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

34101 FARENHOLT AVE # BDLG14
SAN DIEGO, CA
ZIP 92134-000
Phone: (775) 530-8256

The enumeration date for this NPI number is 2/14/2022 and was last updated on 2/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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