Individual
DR. CECELIA THERESA MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2701 W ALAMEDA AVE STE 500, BURBANK, CA 91505-4410
(818) 567-6550
(818) 558-4379
Mailing address
2701 W ALAMEDA AVE STE 500, BURBANK, CA 91505-4410
(818) 567-6550
(818) 558-4379
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G48480
CA
207RG0100X
Gastroenterology Physician
G48480
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
G48480
CA
2084P0800X
Psychiatry Physician
G48480
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G484800
BLUE SHIELD
CA
05
—
00G484800
—
CA
01
—
95 4245140
TAX IDENTIFICATION NUMBER
—
01
—
954245140
BLUE CROSS
CA
Enumeration date
01/18/2007
Last updated
02/20/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us