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NPI Code Detail

MEDICARE: FATIMA BILLOO

MEDICARE:   FATIMA  BILLOO
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 Worker89472CA

General Provider Information

NPI Number : 1730788282
Entity Type Code : Individual
Provider Name (Legal Business Name) : FATIMA BILLOO
Provider Business Mailing Address
First Line : PO BOX 280935
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91328-0935
Country : US
Telephone Number : 818-925-0314
Fax Number :
Provider Business Practice Location Address
First Line : 18928 LASSEN ST
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91324-1835
Country : US
Telephone Number : 818-925-0314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2020
Last Update Date : 10/25/2020

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Directions to “ FATIMA BILLOO ” Practice Location

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