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NPI Code Detail

MEDICARE: GLORIA ESTRELLA

MEDICARE: GLORIA ESTRELLA
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

General Provider Information

NPI Number : 1306073804
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA ESTRELLA
Provider Business Mailing Address
First Line : 920 E BROADWAY
Second Line :
City : GLENDALE
State : CA
Zip : 91205-1204
Country : US
Telephone Number : 818-242-8403
Fax Number : 818-242-3187
Provider Business Practice Location Address
First Line : 920 E BROADWAY
Second Line :
City : GLENDALE
State : CA
Zip : 91205-1204
Country : US
Telephone Number : 818-242-8403
Fax Number : 818-242-3187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2009
Last Update Date : 06/11/2009

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Directions to “ GLORIA ESTRELLA ” Practice Location

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