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NPI Code Detail

MEDICARE: ANA G PLEASANT

MEDICARE: ANA G PLEASANT
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
1251J00000XNursing Care Agency
2172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1063989572
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA G PLEASANT
Provider Business Mailing Address
First Line : 1230 ROSECRANS AVE STE 300
Second Line :
City : MANHATTAN BEACH
State : CA
Zip : 90266-2494
Country : US
Telephone Number : 213-804-5268
Fax Number :
Provider Business Practice Location Address
First Line : 3633 E BROADWAY
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-6035
Country : US
Telephone Number : 562-625-6187
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2018
Last Update Date : 01/08/2024

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Directions to “ ANA G PLEASANT ” Practice Location

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