Naydu Amezcua
Community Health Worker in Long Beach, CA. Individual provider (NPI-1).
NPI number1467290056
StatusActive
Last updated in NPPESMay 2, 2025
Details
- NPI
- 1467290056
- Entity type
- Individual (NPI-1)
- Name
- Naydu Amezcua
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2024
- Certification date
- May 2, 2025
- Last updated
- May 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 373H00000X | Day Training/Habilitation Specialist | – | – |
Practice location
3210 Long Beach BlvdLong Beach, CA 90807-5062
Phone 562-548-6500
Mailing address
3210 Long Beach BlvdLong Beach, CA 90807-5062
Phone 562-548-6500
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