MADDISON LEIGH SAN DIEGO ROMO NPI 1912512781

NPI Information

NPI: 1912512781
Provider Name: MADDISON LEIGH SAN DIEGO ROMO
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
4139 EL CAMINO WAY
PALO ALTO, CA
ZIP 94306
Phone: (650) 617-8340
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Maddison Leigh San Diego Romo is a student in an organized health care education training program in Palo Alto, 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. Maddison Leigh San Diego Romo NPI is 1912512781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4139 EL CAMINO WAY
PALO ALTO, CA
ZIP 94306-010
Phone: (650) 617-8340
Fax: (408) 642-6052

The enumeration date for this NPI number is 9/9/2020 and was last updated on 10/11/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes
2	106S00000X	Behavior Technician				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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