Provider Demographics
NPI:1548917040
Name:CALDERON-NERNBERG, BELINA
Entity type:Individual
Prefix:
First Name:BELINA
Middle Name:
Last Name:CALDERON-NERNBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18455 BURBANK BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-6633
Mailing Address - Country:US
Mailing Address - Phone:818-452-4485
Mailing Address - Fax:818-924-4217
Practice Address - Street 1:18455 BURBANK BLVD STE 210
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-6633
Practice Address - Country:US
Practice Address - Phone:818-452-4485
Practice Address - Fax:818-924-4217
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19470012253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care