| Provider / Organization | NPI | Date Certified |
|---|---|---|
| FREDY CELEDON | 1487271524 | 2020-07-04 |
Fredy Celedon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1487271524. Registration indicates Fredy Celedon is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist (Specialist/Technologist: Athletic Trainer, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Specialist/Technologist, )
| Entity Type | Individual |
| Provider Name | Fredy Celedon SOLE PROPRIETORSHIP |
| Practice Office Address | 18111 NORDHOFF ST NORTHRIDGE, CA US |
| Practice Office Telephone | 8186771200 |
| Mailing Address | 244 WARREN AVE SANTA PAULA, CA 930603238 US |
| Business Telephone | 8057650034 |
| Code | Practice | License No State |
|---|---|---|
| 2255A2300X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Specialist/Technologist: Athletic Trainer All Other Specialties & Provider Types Specialist/Technologist Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist |
CA |