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Shana Calderon

Technician, Other in Trabuco Canyon, CA. Individual provider (NPI-1).

NPI number1164054128
StatusActive
Last updated in NPPESFeb 7, 2020

Details

NPI
1164054128
Entity type
Individual (NPI-1)
Name
Shana Calderon
Sex
Female
Sole proprietor
No
Enumeration date
Feb 7, 2020
Certification date
Feb 7, 2020
Last updated
Feb 7, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

20331 Flanagan Rd
Trabuco Canyon, CA 92679

Phone 818-582-8832

Mailing address

8140 Sunland Blvd
Sun Valley, CA 91352-3948

Phone 818-582-8832

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Other Technician providers in Trabuco Canyon, CA

All 7 Other Technician providers in Trabuco Canyon · All 250 providers in Trabuco Canyon

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