Maldonado, Jesenya Guadalupe
Maldonado, Jesenya Guadalupe is an individual health care provider with primary practice located at 5628 E. Slauson Ave , City Of Commerce CA 90040. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Maldonado, Jesenya Guadalupe can be contacted via phone (323) 318-9960.Contact Information
Primary practice address
5628 E. Slauson Ave
City Of Commerce CA 90040
Phone: (323) 318-9960
Fax: (323) 780-3211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | California |
Profile Details
| NPI number | 1902416787 |
|---|---|
| LBN Legal business name | Maldonado, Jesenya Guadalupe |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2020 |
| Last updated | Jan 19th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902416787 | NPPES |
| California | Other | 95-2633765 | MEDI-CAL |
| California | Other | 95-2633765 | MEDI-CAL |
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