NIKI MORTAZAVIENTESAB MD
NPI 1083408777
Student in an Organized Health Care Education/Training Program in Colton, CA
About Niki Mortazavientesab Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIKI MORTAZAVIENTESAB MD (NPI 1083408777) is a student in an organized health care education/training program provider in Colton, California and active in the NPI registry since April 2025.Information from the official NPPES registry record, last updated April 8, 2025.
NPPES Registry Identity
★ Primary Specialty
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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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
COLTON, CA 92324
COLTON, CA 92324
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083408777, enumerated as an "individual" on April 07, 2025.
The provider is located at 400 N PEPPER AVE COLTON, CA 92324 and the phone number is (909) 580-6343.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
