Individual
ALEXIS GABRIELLE CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3455 PERCY ST, LOS ANGELES, CA 90023-1716
(323) 268-2100
(323) 983-7530
Mailing address
3455 PERCY ST, LOS ANGELES, CA 90023-1716
(323) 268-2100
(323) 983-7530
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
04/25/2023
Last updated
06/20/2023
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