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

Mario A Fregoso

Individual provider Day Training/Habilitation Specialist · NPI 1063001725

Mario A Fregoso is a Day Training/Habilitation Specialist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Phone: (310) 631-8004
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)
Day Training/Habilitation Specialist Taxonomy 373H00000X (CA)

Record details

NPI number1063001725
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 15, 2021
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

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