Healthcare Provider Details

I. General information

NPI: 1548083710
Provider Name (Legal Business Name): KAREN BELTRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2024
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3855 N WEST AVE STE 103-110
FRESNO CA
93705-2759
US

IV. Provider business mailing address

1550 SOUTH AVE APT 240
ORANGE COVE CA
93646-9315
US

V. Phone/Fax

Practice location:
  • Phone: 559-334-6433
  • Fax:
Mailing address:
  • Phone: 559-725-7684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: