Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charly Alexis Zepeda

Individual provider Rehabilitation Practitioner · NPI 1720758733

Charly Alexis Zepeda is a Rehabilitation Practitioner in Los Angeles, California. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3

Practice location Address checks out

3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Phone: (323) 593-5300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 — (323) 593-5300

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Rehabilitation Practitioner Taxonomy 225400000X
Day Training/Habilitation Specialist Taxonomy 373H00000X

Record details

NPI number1720758733
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 20, 2021
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

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