Healthcare Provider Details

I. General information

NPI: 1417878869
Provider Name (Legal Business Name): MARIA TERESA LEGASPI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10651 OXNARD ST APT 4
NORTH HOLLYWOOD CA
91606-5036
US

IV. Provider business mailing address

10651 OXNARD ST APT 4
NORTH HOLLYWOOD CA
91606-5036
US

V. Phone/Fax

Practice location:
  • Phone: 818-626-1497
  • Fax:
Mailing address:
  • Phone: 818-626-1497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: