Healthcare Provider Details

I. General information

NPI: 1083529010
Provider Name (Legal Business Name): MARCELA RECUPERATIVE CARE II
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6010 EL RANCHO DR
WHITTIER CA
90606-1414
US

IV. Provider business mailing address

6010 EL RANCHO DR
WHITTIER CA
90606-1414
US

V. Phone/Fax

Practice location:
  • Phone: 949-447-4839
  • Fax:
Mailing address:
  • Phone: 949-447-4839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. TESALONICA CLEMENTE
Title or Position: CEO
Credential:
Phone: 949-447-4839