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NPI Code Detail

MEDICARE: NADIA SOUZA

MEDICARE: NADIA SOUZA
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
1224Z00000XOccupational Therapy AssistantOTA2890CA

General Provider Information

NPI Number : 1275994402
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADIA SOUZA
Provider Business Mailing Address
First Line : PO BOX 66851
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-0851
Country : US
Telephone Number : 619-520-7502
Fax Number :
Provider Business Practice Location Address
First Line : 3533 MOTOR AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-4806
Country : US
Telephone Number : 310-836-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2016
Last Update Date : 03/16/2016

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Directions to “ NADIA SOUZA ” Practice Location

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