Most Relevant Information
Provider Data
| NPI Number: | 1003537382 |
| Provider Name: | WENDY HUERTA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/06/2022 |
| Last Updated: | 06/14/2023 |
Provider Practice Location
515 COLUMBIA AVE # 200
LOS ANGELES
CA
900171209
Practice Location Phone/Fax
| Phone: | 2132499388 |
| Fax: | 2133897993 |
Provider Mailing Location
515 COLUMBIA AVE # 200
LOS ANGELES
CA
900171209
Provider Mailing Phone/Fax
| Phone: | 2132499388 |
| Fax: | 2133897993 |