Dagostaro, Andrea Desiree

Dagostaro, Andrea Desiree is an individual health care provider with primary practice located at 10716 La Tuna Canyon Rd , Sun Valley CA 91352-2130. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Dagostaro, Andrea Desiree can be contacted via phone (818) 252-5863.

Contact Information

Primary practice address
10716 La Tuna Canyon Rd Sun Valley CA 91352-2130
Phone: (818) 252-5863
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1376000901
LBN Legal business name Dagostaro, Andrea Desiree
Credentials SLPA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2019
Last updated Mar 1st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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