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NPI Code Detail

MEDICARE: ANAKAREN GONZALEZ VERDIN

MEDICARE: ANAKAREN GONZALEZ VERDIN
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
1172V00000XCommunity Health Worker
2373H00000XDay Training/Habilitation Specialist
3225400000XRehabilitation Practitioner
4171400000XHealth & Wellness CoachCA

General Provider Information

NPI Number : 1427691310
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANAKAREN GONZALEZ VERDIN
Provider Business Mailing Address
First Line : 425 W 102ND ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90003-4403
Country : US
Telephone Number : 424-264-4145
Fax Number :
Provider Business Practice Location Address
First Line : 7601 CANBY AVE STE 3
Second Line :
City : RESEDA
State : CA
Zip : 91335-2979
Country : US
Telephone Number : 818-921-3466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2019
Last Update Date : 03/10/2026

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