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NPI Code Detail

MEDICARE: MAKO XIOMARA CSAPO

MEDICARE: MAKO XIOMARA CSAPO
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 Worker66545CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
166545OTHERCALIC

General Provider Information

NPI Number : 1689968513
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKO XIOMARA CSAPO
Provider Business Mailing Address
First Line : 1600 N CUYAMACA ST
Second Line :
City : EL CAJON
State : CA
Zip : 92020-1109
Country : US
Telephone Number : 626-297-2277
Fax Number :
Provider Business Practice Location Address
First Line : 1600 N CUYAMACA ST
Second Line :
City : EL CAJON
State : CA
Zip : 92020-1109
Country : US
Telephone Number : 626-297-2277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2011
Last Update Date : 02/16/2016

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Directions to “ MAKO XIOMARA CSAPO ” Practice Location

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