Provider Demographics
NPI:1780253583
Name:PEDROZA, LEYDI ESTEFANI
Entity type:Individual
Prefix:MS
First Name:LEYDI
Middle Name:ESTEFANI
Last Name:PEDROZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 LA BREA ST APT 4F
Mailing Address - Street 2:
Mailing Address - City:RAMONA
Mailing Address - State:CA
Mailing Address - Zip Code:92065-2282
Mailing Address - Country:US
Mailing Address - Phone:760-481-9378
Mailing Address - Fax:
Practice Address - Street 1:1707 LA BREA ST APT 4F
Practice Address - Street 2:
Practice Address - City:RAMONA
Practice Address - State:CA
Practice Address - Zip Code:92065-2282
Practice Address - Country:US
Practice Address - Phone:760-481-9378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other