Individual provider · Type 1 NPI

Kathleen Treudley Tedesco, MD

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1972130193 Active

Practice location

1200 N State St
Los Angeles, CA 90033-1029

Call (323) 409-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Neonatal-Perinatal Medicine Physician 2080N0001XA186303 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972130193

Kathleen Treudley Tedesco, MD's National Provider Identifier is 1972130193, issued on Mar 26, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 2, 2026.