Brenda Pasqua, ATC, EMT

Individual provider Active NPI Basic Emergency Medical Technician · Oak Park, CA

NPI 1992254502 · NPPES record last updated Sep 23, 2016

Key facts

NPI
1992254502
Entity type
Individual (NPI type 1)
Primary specialty
Basic Emergency Medical Technician 146N00000X
License
E084344 (CA)
Practice address
899 Kanan Rd
Oak Park, CA 91377
Phone
(818) 371-7399
NPI assigned
Sep 23, 2016
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
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
E084344CAMDBasic Emergency Medical Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X E084344 CA Yes

Addresses

Primary practice location

899 Kanan Rd
Oak Park, CA 91377

Mailing address

899 Kanan Rd
Oak Park, CA 91377-3904
Phone (818) 735-3303

Other providers in Oak Park, CA

All providers in Oak Park, CA · Basic Emergency Medical Technician in California

Sources for this page

Verify at the official NPI Registry.