Miguel Angel Dorador

Individual provider Active NPI Community Health Worker · Tehachapi, CA

NPI 1144868290 · NPPES record last updated Aug 2, 2023

Key facts

NPI
1144868290
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
113 E F St
Tehachapi, CA 93561-1710
Phone
(661) 822-8223
NPI assigned
Dec 19, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

113 E F St
Tehachapi, CA 93561-1710

Mailing address

113 E F St
Tehachapi, CA 93561-1710
Phone (661) 822-8223

Other providers in Tehachapi, CA

All providers in Tehachapi, CA · Community Health Worker in California

Sources for this page

Verify at the official NPI Registry.