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NPI Code Detail

MEDICARE: LENORE CARMENT PALLARES MSW

MEDICARE:   LENORE CARMENT PALLARES  MSW
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
1101YM0800XMental Health CounselorASW 31890CA
21041C0700XClinical Social Worker
31041C0700XClinical Social Worker73269CA

General Provider Information

NPI Number : 1730462367
Entity Type Code : Individual
Provider Name (Legal Business Name) : LENORE CARMENT PALLARES MSW
Provider Business Mailing Address
First Line : 1200 COLTON ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-5816
Country : US
Telephone Number : 213-580-6415
Fax Number :
Provider Business Practice Location Address
First Line : 1200 COLTON ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-5816
Country : US
Telephone Number : 213-580-6415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2011
Last Update Date : 06/02/2025

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Directions to “ LENORE CARMENT PALLARES MSW” Practice Location

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