MEDICARE: REBECA BANUELOS

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
1	103TS0200X	School Psychologist
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1588482194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECA BANUELOS

Provider Business Mailing Address
First Line	:	13952 LOS ANGELES ST
Second Line	:
City	:	BALDWIN PARK
State	:	CA
Zip	:	91706-3051
Country	:	US
Telephone Number	:	626-646-6866
Fax Number	:

Provider Business Practice Location Address
First Line	:	1441 SANTA ANITA AVE
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91733-3311
Country	:	US
Telephone Number	:	626-646-6866
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2024
Last Update Date	:	10/09/2024

Similar Medicare Providers

1154337418 — LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Practice Location Address:

1441 SANTA ANITA AVE
SOUTH EL MONTE, CA
91733-3311

Practice Phone: 626-258-3002
Practice Fax: 626-258-3020

1821801275 — JOY LICON
Practice Location Address:

1441 SANTA ANITA AVE
SOUTH EL MONTE, CA
91733-3311

Practice Phone: 626-575-5425
Practice Fax:

1518897669 — EAST BAY INTEGRATIVE MARRIAGE AND FAMILY THERAPY GROUP INC
Practice Location Address:

707 SEA VIEW DR
EL CERRITO, CA
94530-3311

Practice Phone: 510-468-9344
Practice Fax:

1780417972 — TALYA YEIRA STRAUSS
Practice Location Address:

707 SEA VIEW DR
EL CERRITO, CA
94530-3311

Practice Phone: 510-468-9344
Practice Fax:

1285572040 — SOUTHWOOD MEDICAL TRANSPORT LLC
Practice Location Address:

3311 CRAIGO AVE
EL PASO, TX
79904-1003

Practice Phone: 877-216-1977
Practice Fax:

1629909270 — MING CHUN LI
Practice Location Address:

10356 GARVEY AVE STE B
EL MONTE, CA
91733-2134

Practice Phone: 626-406-4655
Practice Fax:

Directions to “ REBECA BANUELOS ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.