Provider Demographics
NPI:1932605912
Name:ALDEA, NAIDA AURELIO
Entity Type:Individual
Prefix:MISS
First Name:NAIDA
Middle Name:AURELIO
Last Name:ALDEA
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 1:2010 ROBLES PERDIDO DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:LOS OSOS
Mailing Address - State:CA
Mailing Address - Zip Code:93402-3353
Mailing Address - Country:US
Mailing Address - Phone:818-233-6776
Mailing Address - Fax:
Practice Address - Street 1:2010 ROBLES PERDIDO DR UNIT B
Practice Address - Street 2:
Practice Address - City:LOS OSOS
Practice Address - State:CA
Practice Address - Zip Code:93402-3353
Practice Address - Country:US
Practice Address - Phone:818-233-6776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47942225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant