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NPI Code Detail

MEDICARE: MS. JULIE ANN FARINO L.P.T.

MEDICARE: MS. JULIE ANN FARINO L.P.T.
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
1167G00000XLicensed Psychiatric TechnicianPT23256CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C005383OTHERCASTAFF CODE

General Provider Information

NPI Number : 1851420509
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE ANN FARINO L.P.T.
Provider Business Mailing Address
First Line : 2933 EL NIDO DR
Second Line :
City : ALTADENA
State : CA
Zip : 91001-4529
Country : US
Telephone Number : 626-395-7100
Fax Number : 626-798-2863
Provider Business Practice Location Address
First Line : 2933 EL NIDO DR
Second Line :
City : ALTADENA
State : CA
Zip : 91001-4529
Country : US
Telephone Number : 626-395-7100
Fax Number : 626-798-2863
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/08/2007

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