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NPI Code Detail

MEDICARE: YVONNE C. CARDOZA LCSW

MEDICARE: YVONNE C. CARDOZA LCSW
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
11041C0700XClinical Social Worker65811CA
2104100000XSocial Worker

General Provider Information

NPI Number : 1295069458
Entity Type Code : Individual
Provider Name (Legal Business Name) : YVONNE C. CARDOZA LCSW
Provider Business Mailing Address
First Line : 12440 FIRESTONE BLVD STE 316
Second Line :
City : NORWALK
State : CA
Zip : 90650-9319
Country : US
Telephone Number : 562-864-3722
Fax Number :
Provider Business Practice Location Address
First Line : 12440 FIRESTONE BLVD STE 316
Second Line :
City : NORWALK
State : CA
Zip : 90650-9319
Country : US
Telephone Number : 562-864-3722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2009
Last Update Date : 03/17/2018

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