Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH SUGAPONG ESTRADA-FEDERIZO, M.D
Active Sole ProprietorCommunity Health Center · PALMDALE, CA
Registration Details
- NPI Number
- 1750414009
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 14, 2007 (19.133326687665 yrs)
- Last Updated
- Jul 8, 2007
- License
-
A051630 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
38350 40TH ST ESUITE 100PALMDALE, CA, 935523075Browse CA providers · Browse ZIP 93552
- Phone
- 6612725001
- Primary Specialty
-
Community Health Center
261QC1500X
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.