Individual provider · Type 1 NPI

Edtna Bogarin

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1699030833 Active

Practice location

5110 W Goldleaf Cir
Los Angeles, CA 90056-1282

Call (213) 407-5598 Map

Mailing address

5110 W Goldleaf Cir Fl 2
Los Angeles, CA 90056-1282

Other practice locations

  • 42230 Lake Hughes Rd, Lake Hughes, CA 93532-1012 · (661) 724-8322

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X69143 (CA)
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1699030833

Edtna Bogarin's National Provider Identifier is 1699030833, issued on Jul 12, 2012. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 16, 2025.