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NPI Code Detail

MEDICARE: CESAR MARDONES

MEDICARE: CESAR MARDONES
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
1101Y00000XCounselor26735CA
2104100000XSocial Worker
31041C0700XClinical Social Worker6554CA
41041C0700XClinical Social Worker65554CA

General Provider Information

NPI Number : 1578760914
Entity Type Code : Individual
Provider Name (Legal Business Name) : CESAR MARDONES
Provider Business Mailing Address
First Line : 2420 MARTIN RD STE 200
Second Line :
City : FAIRFIELD
State : CA
Zip : 94534-8610
Country : US
Telephone Number : 707-771-6543
Fax Number : 707-439-8765
Provider Business Practice Location Address
First Line : 2420 MARTIN RD STE 200
Second Line :
City : FAIRFIELD
State : CA
Zip : 94534-8610
Country : US
Telephone Number : 707-771-6543
Fax Number : 707-439-8765
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2007
Last Update Date : 05/22/2024

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1770850265 — MINERVA F NUNEZ MENDEZ ASW
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Directions to “ CESAR MARDONES ” 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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