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NPI Code Detail

MEDICARE: DIANA SIGUENZA LIZARDE LCSW

MEDICARE: DIANA SIGUENZA LIZARDE LCSW
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 Worker66836CA
2101YM0800XMental Health Counselor
31041C0700XClinical Social Worker

General Provider Information

NPI Number : 1811270002
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA SIGUENZA LIZARDE LCSW
Provider Business Mailing Address
First Line : 4401 ATLANTIC AVE STE 200
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2264
Country : US
Telephone Number : 213-640-9256
Fax Number :
Provider Business Practice Location Address
First Line : 4401 ATLANTIC AVE STE 200
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2264
Country : US
Telephone Number : 213-640-9256
Fax Number : 562-685-0459
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2011
Last Update Date : 03/07/2024

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Directions to “ DIANA SIGUENZA LIZARDE LCSW” Practice Location

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