Esperanza Saucedo Bedolla, BA

Individual provider Active NPI Rehabilitation Practitioner · Pacoima, CA

NPI 1376671271 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1376671271
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
12510 Van Nuys Blvd.
Suite 201
Pacoima, CA 91331
Phone
(818) 897-3346
Fax
(818) 896-6213
NPI assigned
Mar 1, 2007
Sex
Female
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
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Yes

Addresses

Primary practice location

12510 Van Nuys Blvd.
Suite 201
Pacoima, CA 91331

Mailing address

210 S de Lacey Ave
Suite 110
Pasadena, CA 91105-2048
Phone (626) 395-7100

Other providers in Pacoima, CA

All providers in Pacoima, CA · Rehabilitation Practitioner in California

Sources for this page

Verify at the official NPI Registry.