Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ELIDA FUENTES
Active Sole ProprietorMRS. ELIDA FUENTES is a Case Manager healthcare provider located in LAWNDALE, California. NPI 1518278811 is currently active in the NPPES registry. Verify at CMS.
Case Manager · LAWNDALE, CA
Registration Details
- NPI Number
- 1518278811
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 1, 2010 (16.09884959751 yrs)
- Last Updated
- Mar 25, 2021
- Licenses
-
34109 (CA)ASW 34109 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14623 HAWTHORNE BLVD STE 400LAWNDALE, CA, 902601581Browse CA providers · Browse ZIP 90260
- Phone
- 3109705000
- Primary Specialty
-
Case Manager
171M00000X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Social Worker
- Additional Specialty
- Occupational Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.