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NPI Code Detail

MEDICARE: MR. RAY IRA APTER LCSW

MEDICARE:  MR. RAY IRA APTER  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCS19474CA

General Provider Information

NPI Number : 1003234261
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RAY IRA APTER LCSW
Provider Business Mailing Address
First Line : 4333 N. GREENBRIER ROAD
Second Line :
City : LONG BEACH
State : CA
Zip : 90808
Country : US
Telephone Number : 562-896-4636
Fax Number :
Provider Business Practice Location Address
First Line : 4333 N. GREENBRIER ROAD
Second Line :
City : LONG BEACH
State : CA
Zip : 90808
Country : US
Telephone Number : 562-896-4636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2014
Last Update Date : 04/03/2014

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Directions to “ MR. RAY IRA APTER LCSW” Practice Location

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