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NPI Code Detail

MEDICARE: PRECIOUS JUAREZ

MEDICARE: PRECIOUS JUAREZ
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

General Provider Information

NPI Number : 1417724576
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRECIOUS JUAREZ
Provider Business Mailing Address
First Line : 12070 TELEGRAPH RD
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-3771
Country : US
Telephone Number : 310-918-2859
Fax Number :
Provider Business Practice Location Address
First Line : 9300 SANTA FE SPRINGS RD
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-2621
Country : US
Telephone Number : 323-612-5598
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2023
Last Update Date : 12/08/2023

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Directions to “ PRECIOUS JUAREZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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