Provider Demographics
NPI:1568270486
Name:MALDONADO-BARRAGAN, MARGARITA (MPH, MCHES)
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:MALDONADO-BARRAGAN
Suffix:
Gender:F
Credentials:MPH, MCHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:758 MELHAM AVE
Mailing Address - Street 2:
Mailing Address - City:LA PUENTE
Mailing Address - State:CA
Mailing Address - Zip Code:91744-2642
Mailing Address - Country:US
Mailing Address - Phone:626-475-7894
Mailing Address - Fax:
Practice Address - Street 1:758 MELHAM AVE
Practice Address - Street 2:
Practice Address - City:LA PUENTE
Practice Address - State:CA
Practice Address - Zip Code:91744-2642
Practice Address - Country:US
Practice Address - Phone:626-475-7894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-23
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171400000X, 174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No171400000XOther Service ProvidersHealth & Wellness Coach