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Stephanie A Mock
Student in an Organized Health Care Education/Training Program in Anaheim, California
NPI 1467849216

Stephanie A Mock is a Student in an Organized Health Care Education/Training Program based in San Jose, CA. Stephanie A Mock practices in Anaheim, CA. The NPI Number for Stephanie A Mock is 1467849216 and holds a License No. E132318 (California).

The current practice location address for Stephanie A Mock is 2120 S State College Blvd Apt 2093, Anaheim, CA and can be reached out via phone at 408-623-4265.

Location: 2120 S State College Blvd Apt 2093, Anaheim, CA, 95124-3701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467849216
Provider Name
Stephanie A Mock
Credential
Provider Entity Type
Individual
Gender
Female
Address
2120 S State College Blvd Apt 2093, Anaheim, CA, 95124-3701
Phone Number
408-623-4265
Fax Number
Provider Enumeration Date
04/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2120 S State College Blvd Apt 2093
City
Anaheim
State
California
Zip
92806-6240
Phone Number
408-623-4265
Fax Number
person
Provider Business Mailing Address Details
Address
2120 S State College Blvd Apt 2093
City
Anaheim
State
California
Zip
92806-6240
Phone Number
408-623-4265
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
146N00000X
License No.
()
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Sports Medicine
Taxonomy
2083S0010X
License No.
2000023261 (California)
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
E132318 (California)
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.
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