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NPI Code Detail

MEDICARE: EDITH JULIETA CAMARENA

MEDICARE: EDITH JULIETA CAMARENA
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
1106H00000XMarriage & Family Therapist159454CA

General Provider Information

NPI Number : 1073105169
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDITH JULIETA CAMARENA
Provider Business Mailing Address
First Line : PO BOX 94362
Second Line :
City : PASADENA
State : CA
Zip : 91109-4362
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3280 E FOOTHILL BLVD FL 2
Second Line :
City : PASADENA
State : CA
Zip : 91107-3148
Country : US
Telephone Number : 626-583-3450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2021
Last Update Date : 06/23/2026

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Directions to “ EDITH JULIETA CAMARENA ” Practice Location

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