Individual
CONSUELO IGLESIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 W TEMPLE ST, LOS ANGELES, CA 90026-4915
(323) 385-5100
Mailing address
2121 W TEMPLE ST, LOS ANGELES, CA 90026-4915
(323) 385-5100
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-FTRZWL
CA
Other
Enumeration date
03/30/2011
Last updated
08/18/2023
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