MEDICARE: MRS. BRITTANY HEAD MPH

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
1	172V00000X	Community Health Worker
2	174H00000X	Health Educator

General Provider Information

NPI Number	:	1346763349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRITTANY HEAD MPH

Provider Business Mailing Address
First Line	:	1135 S TRURO AVE
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90301-3734
Country	:	US
Telephone Number	:	323-833-2197
Fax Number	:

Provider Business Practice Location Address
First Line	:	3816 VIRGINIA RD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-1809
Country	:	US
Telephone Number	:	323-833-2197
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2017
Last Update Date	:	05/21/2019

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