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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALEX JASON VANDER VORSTE, MS, ATC

Active Sole Proprietor

ALEX JASON VANDER VORSTE, MS, ATC is a Athletic Trainer healthcare provider located in MALIBU, California. NPI 1104431451 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MALIBU, CA

Registration Details

NPI Number
1104431451
Provider Type
Individual
Gender
Male
NPI Issued
Sep 14, 2020 (5.7325969412983 yrs)
Last Updated
Sep 14, 2020
License
2000017845 (CA)
Sole Proprietor
Yes

Practice Information

Address
24255 PACIFIC COAST HWY
PEPPERDINE ATHLETICS - SPORTS MEDICINE
MALIBU, CA, 90263
Browse CA providers · Browse ZIP 90263
Phone
3105064169
Fax
3105064424
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MALIBU, CA

Name Credential NPI
MR. KEVIN ALLEN WRIGHT ATC 1386686277
NICOLE DENISE BULICK ATC 1174639355
MR. FRANK JOHN SHEARER MS, ATC 1437257821
KATHERINE SNIFFEN ATC 1063967016
KARISSA ANN SCHERER MS, ATC 1275186025
ANNIE PLUMB LAT, ATC, MS 1235816695
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.