MEDICARE: ELEUTERIO LIMAS PH.D.

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	103TC1900X	Counseling Psychologist	31420	CA

General Provider Information

NPI Number	:	1417450040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELEUTERIO LIMAS PH.D.

Provider Business Mailing Address
First Line	:	203 STUDENT SERVICES 1
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92697-2200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	203 STUDENT SERVICES 1
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92069-2200
Country	:	US
Telephone Number	:	949-824-6457
Fax Number	:

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

Provider Enumeration Date	:	03/09/2018
Last Update Date	:	11/08/2019

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Directions to “ ELEUTERIO LIMAS PH.D.” Practice Location

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