Healthcare Provider Details

I. General information

NPI: 1508712068
Provider Name (Legal Business Name): SAIDENE A ESCALANTE M.A.ED., ED.S., PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2026
Last Update Date: 03/07/2026
Certification Date: 03/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 LAS TUNAS DR
TEMPLE CITY CA
91780-2242
US

IV. Provider business mailing address

9700 LAS TUNAS DR
TEMPLE CITY CA
91780-2242
US

V. Phone/Fax

Practice location:
  • Phone: 626-548-5222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number220287538
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: