Individual
BELEN ENCISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8220 S SAN PEDRO ST, LOS ANGELES, CA 90003-3030
(323) 570-0445
Mailing address
5300 ANGELES VISTA BLVD, VIEW PARK, CA 90043-1648
(323) 295-4555
(323) 321-3491
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/29/2019
Last updated
12/01/2020
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