Healthcare Provider Details

I. General information

NPI: 1831019132
Provider Name (Legal Business Name): CLAUDIA SUSANA ASCENCIO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 2042
SUN CITY CA
92586-1042
US

IV. Provider business mailing address

PO BOX 2042
SUN CITY CA
92586-1042
US

V. Phone/Fax

Practice location:
  • Phone: 562-441-7171
  • Fax: 562-441-7171
Mailing address:
  • Phone: 562-441-7171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number008975
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: