Healthcare Provider Details

I. General information

NPI: 1245161272
Provider Name (Legal Business Name): DANIELA BERNAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13543 DEL SUR ST
SAN FERNANDO CA
91340-2533
US

IV. Provider business mailing address

13543 DEL SUR ST
SAN FERNANDO CA
91340-2533
US

V. Phone/Fax

Practice location:
  • Phone: 818-423-8040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number10061
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: