ANGEL HEREDIA
Rehabilitation Practitioner
Active
Individual
NPI: 1417525056
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | No | - |
| Rehabilitation Practitioner | 225400000X | Yes | - |
Frequently Asked Questions
NPI 1417525056 is the National Provider Identifier for ANGEL HEREDIA, a Rehabilitation Practitioner provider located in San Jose, CA. This NPI was enumerated on June 10, 2021.
ANGEL HEREDIA practices at 425 E SANTA CLARA ST, San Jose, CA 95113.
Quick Facts
- NPI
- 1417525056
- Type
- Individual
- Enumerated
- Jun 10, 2021
- Last Updated
- Jun 30, 2025
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