Healthcare Provider Details

I. General information

NPI: 1114746427
Provider Name (Legal Business Name): LADY ESMERALDA NARVAEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2024
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3663 MARTIN LUTHER KING JR BLVD
LYNWOOD CA
90262-3506
US

IV. Provider business mailing address

3663 MARTIN LUTHER KING JR BLVD
LYNWOOD CA
90262-3506
US

V. Phone/Fax

Practice location:
  • Phone: 310-900-8490
  • Fax: 310-900-8889
Mailing address:
  • Phone: 310-900-8490
  • Fax: 310-900-8889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: