MEDICARE: NATALIE CANDELA PPS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist		CA

General Provider Information

NPI Number	:	1912830217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE CANDELA PPS

Provider Business Mailing Address
First Line	:	1010 W CITRON ST
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92882-4051
Country	:	US
Telephone Number	:	951-736-3221
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 W CITRON ST
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92882-4051
Country	:	US
Telephone Number	:	951-736-3221
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “ NATALIE CANDELA PPS” Practice Location

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