Healthcare Provider Details

I. General information

NPI: 1205779725
Provider Name (Legal Business Name): CHELSEA LEA ASTORGA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 EAST 13TH STREET, MERCED, CA 95341
MERCED CA
95341
US

IV. Provider business mailing address

301 EAST 13TH STREET, MERCED, CA 95341
MERCED CA
95341
US

V. Phone/Fax

Practice location:
  • Phone: 209-381-6800
  • Fax: 209-381-6800
Mailing address:
  • Phone: 209-381-6800
  • Fax: 209-381-6800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: