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

Mr. Edgar Leonardo Tercero

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063925881

Mr. Edgar Leonardo Tercero is a Student in an Organized Health Care Education/Training Program in Van Nuys, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

15339 Saticoy St
Van Nuys, CA 91406-3345
Phone: (818) 267-2646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 128922 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1063925881
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 15, 2017
Last updated in NPPESNovember 9, 2021
Certification dateNovember 9, 2021

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