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NPI Code Detail

MEDICARE: GISELLE VALDEZ VARGAS

MEDICARE: GISELLE VALDEZ VARGAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker
2390200000XStudent in an Organized Health Care Education/Training Program
3373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1265204721
Entity Type Code : Individual
Provider Name (Legal Business Name) : GISELLE VALDEZ VARGAS
Provider Business Mailing Address
First Line : 7120 FRANKLIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90046-3002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7120 FRANKLIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90046-3002
Country : US
Telephone Number : 323-876-0550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2023
Last Update Date : 05/06/2026

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Directions to “ GISELLE VALDEZ VARGAS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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