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NPI Code Detail

MEDICARE: LIZ AMARAL

MEDICARE:   LIZ  AMARAL
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
1106H00000XMarriage & Family Therapist111727CA

General Provider Information

NPI Number : 1598165227
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIZ AMARAL
Provider Business Mailing Address
First Line : 4401 ATLANTIC AVE STE 200
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2264
Country : US
Telephone Number : 714-794-8359
Fax Number :
Provider Business Practice Location Address
First Line : 4401 ATLANTIC AVE STE 200
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2264
Country : US
Telephone Number : 714-794-8359
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2014
Last Update Date : 11/05/2024

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Directions to “ LIZ AMARAL ” Practice Location

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