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NPI Code Detail

MEDICARE: DANNY CERVANTES

MEDICARE: DANNY CERVANTES
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
1390200000XStudent in an Organized Health Care Education/Training ProgramCA
2390200000XStudent in an Organized Health Care Education/Training Program
31041C0700XClinical Social Worker117901CA
4106S00000XBehavior Technician
5225400000XRehabilitation PractitionerCA
6101YM0800XMental Health Counselor117901CA

General Provider Information

NPI Number : 1386055630
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANNY CERVANTES
Provider Business Mailing Address
First Line : 1517 W GARVEY AVE N
Second Line :
City : WEST COVINA
State : CA
Zip : 91790-2138
Country : US
Telephone Number : 877-722-2737
Fax Number :
Provider Business Practice Location Address
First Line : 222 S HILL ST FL 6
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-3523
Country : US
Telephone Number : 818-967-9073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2014
Last Update Date : 01/22/2024

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Directions to “ DANNY CERVANTES ” Practice Location

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