Healthcare Provider Details

I. General information

NPI: 1497643530
Provider Name (Legal Business Name): VERONICA SIGAL
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 MAIN ST STE 205
EL SEGUNDO CA
90245-3803
US

IV. Provider business mailing address

214 MAIN ST STE 205
EL SEGUNDO CA
90245-3803
US

V. Phone/Fax

Practice location:
  • Phone: 424-334-8208
  • Fax:
Mailing address:
  • Phone: 424-334-8208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: