Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Micah Ebanculla

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518469378

Micah Ebanculla is a Student in an Organized Health Care Education/Training Program in Long Beach, California. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Long Beach, CA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518469378
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 7, 2018
Last updated in NPPESMay 3, 2021
Certification dateApril 22, 2021

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