Esperanza Andalon, LVN

Individual provider Active NPI Licensed Vocational Nurse · El Centro, CA

NPI 1497084909 · NPPES record last updated Dec 11, 2009

Key facts

NPI
1497084909
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
VN235170 (CA)
Practice address
2695 S 4TH St
El Centro, CA 92243-6012
Phone
(760) 482-2109
NPI assigned
Dec 11, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
VN235170CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial County Behavioral Health Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN235170 CA Yes

Addresses

Primary practice location

2695 S 4TH St
El Centro, CA 92243-6012

Mailing address

202 N 8TH St
El Centro, CA 92243-2302
Phone (760) 482-4000

Other providers in El Centro, CA

All providers in El Centro, CA · Licensed Vocational Nurse in California

Sources for this page

Verify at the official NPI Registry.