Individual provider · Type 1 NPI
Elizabeth Sugapong Estrada-Federizo, MD
Community Health Clinic/Center · Palmdale, CA
NPI number
1750414009
Active
Practice location
38350 40th St E, Suite 100
Palmdale, CA 93552-3075
Mailing address
43244 Fanchon Ave
Lancaster, CA 93536-1357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | A051630 (CA) |
Community Health Clinic/Center: Definition to come...
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About NPI 1750414009
Elizabeth Sugapong Estrada-Federizo, MD's National Provider Identifier is 1750414009, issued on Mar 14, 2007. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Palmdale, CA. The record was last updated on Jul 8, 2007.