Yesenia Ayala

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Reseda, CA

NPI 1790408656 · NPPES record last updated Sep 26, 2022

Key facts

NPI
1790408656
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
7101 Baird Ave
Reseda, CA 91335-4150
Phone
(818) 660-3184
NPI assigned
Sep 26, 2022
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

7101 Baird Ave
Reseda, CA 91335-4150

Mailing address

11246 Danube Ave
Granada Hills, CA 91344-4321
Phone (818) 660-3184

Other providers in Reseda, CA

All providers in Reseda, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.