Provider Demographics
NPI:1467814772
Name:ARREDONDO, GRINDELIA
Entity Type:Individual
Prefix:MRS
First Name:GRINDELIA
Middle Name:
Last Name:ARREDONDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GRINDELIA
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1259 STICHMAN AVE
Mailing Address - Street 2:
Mailing Address - City:LA PUENTE
Mailing Address - State:CA
Mailing Address - Zip Code:91746-1007
Mailing Address - Country:US
Mailing Address - Phone:626-624-2967
Mailing Address - Fax:
Practice Address - Street 1:420 S SAN PEDRO ST STE G3
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90013-1938
Practice Address - Country:US
Practice Address - Phone:626-624-2967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical