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

Jordan Mauro Maitilasso

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366914319

Jordan Mauro Maitilasso is a Student in an Organized Health Care Education/Training Program in Santee, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

10159 Mission Gorge Rd Ste C
Santee, CA 92071-3857
Phone: (619) 579-0947
Fax: (619) 588-6282
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1366914319
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 31, 2018
Last updated in NPPESAugust 10, 2020
Certification dateAugust 10, 2020

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