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NPI Code Detail

MEDICARE: MALEENAH ITZEL VERA

MEDICARE: MALEENAH ITZEL VERA
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
1172V00000XCommunity Health Worker
2373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1144086448
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALEENAH ITZEL VERA
Provider Business Mailing Address
First Line : 6736 LAUREL CANYON BLVD STE 200
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-1576
Country : US
Telephone Number : 818-755-8786
Fax Number :
Provider Business Practice Location Address
First Line : 6736 LAUREL CANYON BLVD STE 200
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-1576
Country : US
Telephone Number : 818-755-8786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2024
Last Update Date : 06/01/2026

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Directions to “ MALEENAH ITZEL VERA ” Practice Location

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