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

Marie Rose Altendahl

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760188171

Marie Rose Altendahl is a Student in an Organized Health Care Education/Training Program in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

885 Tiverton Dr
Los Angeles, CA 90095-0001
Phone: (310) 825-6373
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

Record details

NPI number1760188171
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 7, 2023
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023

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