Individual provider · Type 1 NPI

Nidia Delsy Pravongviengkham, M.S.

Case Manager/Care Coordinator · Moreno Valley, CA

NPI number 1235384066 Active

Practice location

13800 Heacock St Ste C236
Moreno Valley, CA 92553-3364

Call (951) 653-0819 Map

Mailing address

13415 Canterbury Downs Way
Moreno Valley, CA 92555-8402

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist	106H00000X	IMF 54676 (CA)
Case Manager/Care Coordinator Primary	171M00000X	None listed

Case Manager/Care Coordinator: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-e…

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About NPI 1235384066

Nidia Delsy Pravongviengkham, M.S.'s National Provider Identifier is 1235384066, issued on Nov 20, 2008. The primary taxonomy on file is Case Manager/Care Coordinator (171M00000X), and the practice location is in Moreno Valley, CA. The record was last updated on Nov 14, 2012.