Healthcare Provider Details

I. General information

NPI: 1780540997
Provider Name (Legal Business Name): STEPHANIE ROBLEDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 LANG ST
SALINAS CA
93901-2511
US

IV. Provider business mailing address

241 LANG ST
SALINAS CA
93901-2511
US

V. Phone/Fax

Practice location:
  • Phone: 831-324-5801
  • Fax:
Mailing address:
  • Phone: 831-324-5801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: