MEDICARE: CAMILLE FORBY

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
1	225400000X	Rehabilitation Practitioner
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1871756213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMILLE FORBY

Provider Business Mailing Address
First Line	:	8300 S VERMONT AVE FL 1
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-3493
Country	:	US
Telephone Number	:	323-525-6400
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 S VERMONT AVE FL 1
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-3493
Country	:	US
Telephone Number	:	323-525-6400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	05/08/2025

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1376773549 — JESSICA JASMINE BRAGANZA LCSW
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1962713453 — JESSICA K. THOMAS PSY.D
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Directions to “ CAMILLE FORBY ” Practice Location

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