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

Ian Lizardo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356872030

Ian Lizardo is a Student in an Organized Health Care Education/Training Program in Orange, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

101 The City Dr S City Tower Ste 400
Orange, CA 92868-3201
Phone: (714) 456-5691
Fax: (714) 456-8874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A159189 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356872030
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020
Mailing address333 The City Blvd W, Ste 400, Orange, CA 92868

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