Provider Demographics
NPI:1982629754
Name:MALPARTIDA, ELENA MARGARET (MA)
Entity Type:Individual
Prefix:MS
First Name:ELENA
Middle Name:MARGARET
Last Name:MALPARTIDA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 U ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-1432
Mailing Address - Country:US
Mailing Address - Phone:650-208-8659
Mailing Address - Fax:
Practice Address - Street 1:1217 U ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95818-1432
Practice Address - Country:US
Practice Address - Phone:650-208-8659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 38921101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health