MR. EDDIE MODESTO MALDONADO BS.CMP NPI 1295053544

NPI Information

NPI: 1295053544
Provider Name: MR. EDDIE MODESTO MALDONADO, BS.,CMP
Classification: Technician, Other - 247200000X
Entity Type: Individual
Address:
503 N PCH HWY
REDONDO BEACH, CA
ZIP 90277
Phone: (310) 376-5253
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MR. Eddie Modesto Maldonado, BS.,CMP is a technician other in Redondo Beach, CA. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. MR. Eddie Modesto Maldonado, BS.,CMP NPI is 1295053544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

503 N PCH HWY
REDONDO BEACH, CA
ZIP 90277-104
Phone: (310) 376-5253

The enumeration date for this NPI number is 5/12/2010 and was last updated on 5/21/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	247200000X	Technician, Other		986	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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