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NPI Code Detail

MEDICARE: ANDREA ALEJANDRA OZAETA

MEDICARE: ANDREA ALEJANDRA OZAETA
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
1171M00000XCase Manager/Care Coordinator
2373H00000XDay Training/Habilitation Specialist
3106S00000XBehavior Technician

General Provider Information

NPI Number : 1013582634
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA ALEJANDRA OZAETA
Provider Business Mailing Address
First Line : 555 E OCEAN BLVD STE 330
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-5052
Country : US
Telephone Number : 562-432-0020
Fax Number :
Provider Business Practice Location Address
First Line : 555 E OCEAN BLVD STE 330
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-5052
Country : US
Telephone Number : 562-432-0020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2021
Last Update Date : 09/10/2025

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Directions to “ ANDREA ALEJANDRA OZAETA ” Practice Location

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