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NPI Code Detail

MEDICARE: YOLANDA BEDOLLA

MEDICARE: YOLANDA BEDOLLA
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
13747A0650XAttendant Care Provider

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y4715666OTHERCADRIVER LICENSE

General Provider Information

NPI Number : 1386428753
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOLANDA BEDOLLA
Provider Business Mailing Address
First Line : 791 MADISON AVE APT A
Second Line :
City : CHULA VISTA
State : CA
Zip : 91910-5265
Country : US
Telephone Number : 619-316-4598
Fax Number :
Provider Business Practice Location Address
First Line : 2605 E 2ND ST
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-2013
Country : US
Telephone Number : 619-267-2928
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2023
Last Update Date : 08/24/2023

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Directions to “ YOLANDA BEDOLLA ” 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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