Provider Type Icon

CHERYL L BAGAN NPI 1114594694


NPI Information

NPI: 1114594694
Provider Name: CHERYL L BAGAN
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
4240 W 62ND ST
LOS ANGELES, CA
ZIP 90043
Phone: (323) 290-2540
Get Directions

Cheryl L Bagan is a rehabilitation practitioner in Los Angeles, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Cheryl L Bagan NPI is 1114594694. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4240 W 62ND ST
LOS ANGELES, CA
ZIP 90043-615
Phone: (323) 290-2540

The enumeration date for this NPI number is 6/4/2021 and was last updated on 9/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
3171M00000XCase Manager/Care CoordinatorNo
4225C00000XRehabilitation CounselorNo
5225400000XRehabilitation PractitionerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.