Leticia Baeza
Student in an Organized Health Care Education/Training Program in Madera, CA. Individual provider (NPI-1).
NPI number1750153367
StatusActive
Last updated in NPPESSep 28, 2026
Details
- NPI
- 1750153367
- Entity type
- Individual (NPI-1)
- Name
- Leticia Baeza
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2023
- Certification date
- Sep 28, 2026
- Last updated
- Sep 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | CA | Yes |
| 373H00000X | Day Training/Habilitation Specialist | – | CA |
Practice location
12390 Golden State BlvdMadera, CA 93637-9156
Phone 559-660-4600
Mailing address
12390 Golden State BlvdMadera, CA 93637-9156
Phone 559-660-4600
Other practice locations
2540 W Shaw Ln Ste 110
Fresno, CA 93711-2700
Fresno, CA 93711-2700
Phone 559-443-4800
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