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NPI Code Detail

MEDICARE: MARTHA CECILIA ZAMORA

MEDICARE: MARTHA CECILIA ZAMORA
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
1171M00000XCase Manager/Care Coordinator
2172V00000XCommunity Health Worker
3175T00000XPeer SpecialistMPSS-UNBEXPCA

General Provider Information

NPI Number : 1245413988
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA CECILIA ZAMORA
Provider Business Mailing Address
First Line : 649 E ALBERTONI ST STE 100
Second Line :
City : CARSON
State : CA
Zip : 90746-1538
Country : US
Telephone Number : 310-436-9300
Fax Number :
Provider Business Practice Location Address
First Line : 649 E ALBERTONI ST STE 100
Second Line :
City : CARSON
State : CA
Zip : 90746-1538
Country : US
Telephone Number : 310-436-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2007
Last Update Date : 01/11/2024

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Directions to “ MARTHA CECILIA ZAMORA ” Practice Location

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