AIDAN LI MIYAGISHIMA
NPI 1043021710
Student in an Organized Health Care Education/Training Program in Sacaton, AZ

Active since January 14, 2025
338 S OCOTILLO DR, SACATON, AZ 85147(520) 562-7400 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Aidan Li Miyagishima NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AIDAN LI MIYAGISHIMA (NPI 1043021710) is an individual student in an organized health care education/training program in Sacaton, Arizona and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1043021710
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAIDAN LI MIYAGISHIMA
Location Address338 S OCOTILLO DRSacaton, AZ 85147
Mailing Address18802 E Via Del OroQueen Creek, AZ 85142-4063 · (480) 358-4875
Sole ProprietorNo
Enumeration DateJanuary 14, 2025
NPPES CertifiedJanuary 10, 2025
NPI 1043021710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

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.

338 S OCOTILLO DR, Sacaton, AZ 85147

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
338 S OCOTILLO DR
SACATON, AZ 85147
Student in an Organized Health Care Education/Training Program
338 S OCOTILLO DR
SACATON, AZ 85147

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043021710, enumerated as an "individual" on January 14, 2025.

The provider is located at 338 S OCOTILLO DR SACATON, AZ 85147 and the phone number is (520) 562-7400.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.