Individual
MISS ARASELI HEREDIA MAGANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
2450 S ATLANTIC BLVD STE 101, COMMERCE, CA 90040-1200
(323) 318-9960
(232) 780-3211
Mailing address
2450 S ATLANTIC BLVD STE 101, COMMERCE, CA 90040-1200
(323) 318-9960
(232) 780-3211
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDI-CAL
CA
Enumeration date
06/12/2013
Last updated
06/26/2013
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