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NPI Code Detail

MEDICARE: ANA ISABEL LOORYA

MEDICARE: ANA ISABEL LOORYA
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1164930624
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA ISABEL LOORYA
Provider Business Mailing Address
First Line : 3434 GROVE ST
Second Line :
City : LEMON GROVE
State : CA
Zip : 91945-1812
Country : US
Telephone Number : 619-797-1090
Fax Number : 619-797-1091
Provider Business Practice Location Address
First Line : 8001 PALM ST
Second Line :
City : LEMON GROVE
State : CA
Zip : 91945-3026
Country : US
Telephone Number : 619-797-1090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2018
Last Update Date : 01/18/2018

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Directions to “ ANA ISABEL LOORYA ” Practice Location

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