Individual provider · NPI-1

Yolanda Calderon

Day Training/Habilitation Specialist · Gardena, CA

NPI number1669721759
StatusActive
Last updated in NPPESNov 6, 2025

Details

NPI
1669721759
Entity type
Individual (NPI-1)
Name
Yolanda Calderon
Sex
Female
Sole proprietor
No
Enumeration date
Sep 5, 2012
Certification date
Nov 6, 2025
Last updated
Nov 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

108 W Victoria St
Gardena, CA 90248-3523

Phone 310-715-2020

Mailing address

108 W Victoria St
Gardena, CA 90248-3523

Phone 310-715-2020

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