Kemberlyn Dayanae Acevedo, B.A.
Rehabilitation Practitioner in Los Angeles, CA. Individual provider (NPI-1).
NPI number1740826213
StatusActive
Last updated in NPPESApr 16, 2025
Details
- NPI
- 1740826213
- Entity type
- Individual (NPI-1)
- Name
- Kemberlyn Dayanae Acevedo
- Credential
- B.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2019
- Certification date
- Apr 16, 2025
- Last updated
- Apr 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 225400000X | Rehabilitation Practitioner | – | CA | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
3787 S Vermont AveLos Angeles, CA 90007-4203
Phone 323-766-2345
Mailing address
3031 S Vermont AveLos Angeles, CA 90007-3033
Phone 323-372-2400
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