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NPI Code Detail

MEDICARE: ELANIE BRIANN GUDINO

MEDICARE:   ELANIE BRIANN GUDINO
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

General Provider Information

NPI Number : 1841054152
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELANIE BRIANN GUDINO
Provider Business Mailing Address
First Line : 12440 FIRESTONE BLVD STE 316
Second Line :
City : NORWALK
State : CA
Zip : 90650-9319
Country : US
Telephone Number : 562-864-3722
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 : 562-864-3722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2024
Last Update Date : 02/03/2026

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Directions to “ ELANIE BRIANN GUDINO ” Practice Location

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