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NPI Code Detail

MEDICARE: MARIELA CARRANZA

MEDICARE: MARIELA CARRANZA
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
1104100000XSocial Worker
2225400000XRehabilitation Practitioner
3106S00000XBehavior Technician

General Provider Information

NPI Number : 1730742339
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIELA CARRANZA
Provider Business Mailing Address
First Line : PO BOX 3011
Second Line :
City : HUNTINGTON PARK
State : CA
Zip : 90255-1911
Country : US
Telephone Number : 562-501-5700
Fax Number :
Provider Business Practice Location Address
First Line : 3633 E BROADWAY
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-6035
Country : US
Telephone Number : 562-285-1330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2019
Last Update Date : 09/02/2025

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Directions to “ MARIELA CARRANZA ” Practice Location

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