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NPI Code Detail

MEDICARE: KORINA TREZZA-DEL VALLE

MEDICARE: KORINA TREZZA-DEL VALLE
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
11041C0700XClinical Social Worker106815CA

General Provider Information

NPI Number : 1578232260
Entity Type Code : Individual
Provider Name (Legal Business Name) : KORINA TREZZA-DEL VALLE
Provider Business Mailing Address
First Line : 2975 MCMILLAN AVE STE 164
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-6768
Country : US
Telephone Number : 805-439-4890
Fax Number :
Provider Business Practice Location Address
First Line : 2945 MCMILLAN AVE STE 240
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-6771
Country : US
Telephone Number : 805-439-4890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2021
Last Update Date : 04/07/2026

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Directions to “ KORINA TREZZA-DEL VALLE ” Practice Location

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