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NPI Code Detail

MEDICARE: MITZUKY ANTONELLA ORELLANA

MEDICARE: MITZUKY ANTONELLA ORELLANA
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
1104100000XSocial Worker125799CA
2101YM0800XMental Health Counselor83859CA
31041C0700XClinical Social Worker83859CA
41041C0700XClinical Social Worker125799CA
5171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1205317666
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITZUKY ANTONELLA ORELLANA
Provider Business Mailing Address
First Line : 155 N OCCIDENTAL BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4641
Country : US
Telephone Number : 213-381-2931
Fax Number :
Provider Business Practice Location Address
First Line : 155 N OCCIDENTAL BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4641
Country : US
Telephone Number : 213-381-2931
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2018
Last Update Date : 01/14/2026

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Directions to “ MITZUKY ANTONELLA ORELLANA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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