Julia Carmelo

Individual provider Active NPI Rehabilitation Practitioner · Pico Rivera, CA

NPI 1720587694 · NPPES record last updated Jun 22, 2018

Key facts

NPI
1720587694
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
9033 Washington Blvd
Pico Rivera, CA 90660
Phone
(562) 942-9625
Fax
(562) 942-9695
NPI assigned
Feb 6, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Practice roles

OrganizationSpecialtyStatusNew patients
California Hispanic Commission a & D Abuse Past Accepting new patients
Chcada/Enhanced Specialized Foster Care Mental HLTH Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Yes

Addresses

Primary practice location

9033 Washington Blvd
Pico Rivera, CA 90660

Mailing address

9033 Washington Blvd
Pico Rivera, CA 90660-3839
Phone (562) 942-9625

Other providers in Pico Rivera, CA

All providers in Pico Rivera, CA · Rehabilitation Practitioner in California

Sources for this page

Verify at the official NPI Registry.