Individual
ALBERT ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13800 HEACOCK ST, MORENO VALLEY, CA 92553-3339
(323) 749-1189
Mailing address
13800 HEACOCK ST, MORENO VALLEY, CA 92553-3339
(323) 749-1189
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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