Individual provider · Type 1 NPI

Mark Antonio Bardalez

Peer Specialist · Los Angeles, CA

NPI number 1477323970 Active

Practice location

307 S Central Ave
Los Angeles, CA 90013-1709

Call (213) 372-5233 Map

Mailing address

12070 Telegraph Rd
Santa Fe Springs, CA 90670-3771

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-CQILDB (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1477323970

Mark Antonio Bardalez's National Provider Identifier is 1477323970, issued on Jan 5, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 24, 2025.