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NPI Code Detail

MEDICARE: KAMERON HIGHTOWER

MEDICARE: KAMERON HIGHTOWER
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
1101Y00000XCounselor
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1629219423
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMERON HIGHTOWER
Provider Business Mailing Address
First Line : 1811 W 41ST DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90062-1517
Country : US
Telephone Number : 323-348-4615
Fax Number :
Provider Business Practice Location Address
First Line : 1811 W 41ST DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90062-1517
Country : US
Telephone Number : 323-348-4615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2009
Last Update Date : 06/13/2024

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Directions to “ KAMERON HIGHTOWER ” Practice Location

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