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NPI Code Detail

MEDICARE: OSVALDO CARRANZA

MEDICARE:   OSVALDO  CARRANZA
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1346084043
Entity Type Code : Individual
Provider Name (Legal Business Name) : OSVALDO CARRANZA
Provider Business Mailing Address
First Line : 841 LASSEN AVE
Second Line :
City : MODESTO
State : CA
Zip : 95358-6040
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3045 GROVE WAY
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-6703
Country : US
Telephone Number : 510-688-8166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2024
Last Update Date : 07/08/2025

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Directions to “ OSVALDO CARRANZA ” Practice Location

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