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

Mark Antonio Bardalez

Individual provider Peer Specialist · NPI 1477323970

Mark Antonio Bardalez is a Peer Specialist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

307 S Central Ave
Los Angeles, CA 90013-1709
Phone: (213) 372-5233
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-CQILDB (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1477323970
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 5, 2024
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing address12070 Telegraph Rd, Santa Fe Springs, CA 90670-3771

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