Healthcare Provider Details

I. General information

NPI: 1821894353
Provider Name (Legal Business Name): FIORELLA FERNANDEZ BARREDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 N EUCLID ST STE 680
ANAHEIM CA
92801-5509
US

IV. Provider business mailing address

131 S HAMPTON ST
ANAHEIM CA
92804-2278
US

V. Phone/Fax

Practice location:
  • Phone: 714-780-0010
  • Fax: 714-912-8640
Mailing address:
  • Phone: 714-905-4312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: