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NPI Code Detail

MEDICARE: MRS. ESMERALDA LEDESMA MSW, LCSW

MEDICARE: MRS. ESMERALDA LEDESMA MSW, LCSW
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
11041C0700XClinical Social Worker28413CA

General Provider Information

NPI Number : 1750587515
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ESMERALDA LEDESMA MSW, LCSW
Provider Business Mailing Address
First Line : 5800 S EASTERN AVE STE 500
Second Line :
City : COMMERCE
State : CA
Zip : 90040-4033
Country : US
Telephone Number : 323-725-4469
Fax Number :
Provider Business Practice Location Address
First Line : 12440 FIRESTONE BLVD STE 316
Second Line :
City : NORWALK
State : CA
Zip : 90650-9319
Country : US
Telephone Number : 562-832-3236
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2007
Last Update Date : 07/10/2024

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