Healthcare Provider Details

I. General information

NPI: 1578282851
Provider Name (Legal Business Name): MISS SHALONDA D BATTEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3303 N BROADWAY
LOS ANGELES CA
90031-2803
US

IV. Provider business mailing address

15532 NORDHOFF ST APT 206
NORTH HILLS CA
91343-3245
US

V. Phone/Fax

Practice location:
  • Phone: 323-313-1436
  • Fax:
Mailing address:
  • Phone: 323-313-3713
  • 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
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: