Dr Kathleen Treudley Tedesco, MD in Los Angeles, CA - Student in an Organized Health Care Education/Training Program

Dr Kathleen Treudley Tedesco, MD - Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Dr Kathleen Treudley Tedesco, MD is a Student In An Organized Health Care Education/training Program physician based in Los Angeles, California. Dr Kathleen Treudley Tedesco is licensed to practice in * (Not Available) (license number ) and her current practice location is 1200 N State St, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at (323) 409-1000.

NPI number for Dr Kathleen Treudley Tedesco is 1972130193 and her current mailing address is 1200 N State St, Los Angeles, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972130193.

Contact Information

	Dr Kathleen Treudley Tedesco, MD
	1200 N State St, Los Angeles, CA 90033-1029
	(323) 409-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kathleen Treudley Tedesco
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	1200 N State St, Los Angeles, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1972130193
Provider Enumeration Date: 03/26/2020
Last Update Date: 06/02/2026

Medical Identifiers

Medical identifiers for Dr Kathleen Treudley Tedesco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972130193	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	A186303 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kathleen Treudley Tedesco is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kathleen Treudley Tedesco, MD 1200 N State St, Los Angeles, CA 90033-1083 Ph: (323) 409-5707	Dr Kathleen Treudley Tedesco, MD 1200 N State St, Los Angeles, CA 90033-1029 Ph: (323) 409-1000