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NPI Code Detail

MEDICARE: ALICIA LLAMAS

MEDICARE: ALICIA LLAMAS
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

General Provider Information

NPI Number : 1457491193
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA LLAMAS
Provider Business Mailing Address
First Line : 5400 E OLYMPIC BLVD
Second Line :
City : COMMERCE
State : CA
Zip : 90022-5147
Country : US
Telephone Number : 562-595-3020
Fax Number :
Provider Business Practice Location Address
First Line : 5400 E OLYMPIC BLVD
Second Line :
City : COMMERCE
State : CA
Zip : 90022-5147
Country : US
Telephone Number : 562-595-3020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 09/13/2016

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Directions to “ ALICIA LLAMAS ” Practice Location

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