LA KEISHA WADE-MALONE
NPI 1710852082
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since October 07, 2025

1731 E 120TH ST, LOS ANGELES, CA 90059(340) 626-4677 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About La Keisha Wade-malone NPPES

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

LA KEISHA WADE-MALONE (NPI 1710852082) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1710852082

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLA KEISHA WADE-MALONE

Location Address1731 E 120TH STLos Angeles, CA 90059-3051

Mailing Address1731 E 120th StLos Angeles, CA 90059-3051

Phone(340) 626-4677

Sole ProprietorYes

Enumeration DateOctober 7, 2025

NPPES CertifiedOctober 7, 2025

✔ NPI 1710852082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

1731 E 120TH ST, Los Angeles, CA 90059

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