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NPI Code Detail

MEDICARE: MS. NAJMA MASHADI LCSW

MEDICARE: MS. NAJMA MASHADI 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 Worker27712CA

General Provider Information

NPI Number : 1043347917
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NAJMA MASHADI LCSW
Provider Business Mailing Address
First Line : 3869 MADONNA DR
Second Line :
City : FULLERTON
State : CA
Zip : 92835-1246
Country : US
Telephone Number : 714-879-2769
Fax Number :
Provider Business Practice Location Address
First Line : 5870 ARLINGTON AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-2037
Country : US
Telephone Number : 951-683-6596
Fax Number : 951-683-6596
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 02/28/2018

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