Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner |
NPI | 1013269943 |
---|---|
Provider Name | Guadalupe Yepiz |
First Address | Commerce, CA 90040-2449 |
Second Address | Los Angeles, CA 90017-1209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2012 |
Last Update Date | 01/10/2021 |