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

Petra Betancourt

Individual provider Rehabilitation Practitioner · NPI 1194900027

Petra Betancourt is a Rehabilitation Practitioner in Mission Hills, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
Specialties on file
2

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

11565 Laurel Canyon Blvd Ste #116
Mission Hills, CA 91430
Phone: (818) 361-5030
Fax: (818) 361-1764

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 84544 (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1194900027
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 9, 2008
Last updated in NPPESDecember 3, 2018

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