MEDICARE: YOLANDA CUDID VILLALPANDO

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	104100000X	Social Worker	ASW132721	CA

General Provider Information

NPI Number	:	1710652961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLANDA CUDID VILLALPANDO

Provider Business Mailing Address
First Line	:	679 S NEW HAMPSHIRE AVE STE 400
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-1355
Country	:	US
Telephone Number	:	626-753-8749
Fax Number	:

Provider Business Practice Location Address
First Line	:	679 S NEW HAMPSHIRE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-1355
Country	:	US
Telephone Number	:	626-649-9800
Fax Number	:

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

Provider Enumeration Date	:	08/10/2021
Last Update Date	:	01/23/2026

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Directions to “ YOLANDA CUDID VILLALPANDO ” Practice Location

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