Individual provider · Type 1 NPI

Eddie Modesto Maldonado, BS., CMP

Other Technician · Redondo Beach, CA

NPI number 1295053544 Active

Practice location

503 N Pch Hwy
Redondo Beach, CA 90277-2104

Mailing address

4702 W. 132nd St.
Hawthorne, CA 90250

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000X986 (CA)

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1295053544

Eddie Modesto Maldonado, BS., CMP's National Provider Identifier is 1295053544, issued on May 12, 2010. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Redondo Beach, CA. The record was last updated on May 21, 2010.