Individual
ANDREA BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5190 ATLANTIC AVE, LONG BEACH, CA 90805-6510
(818) 996-1051
Mailing address
4323 DEEBOYAR AVE, LAKEWOOD, CA 90712-3703
(562) 305-0596
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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