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NPI Code Detail

MEDICARE: KARRERA CORENA JOSEPH LMFT

MEDICARE: KARRERA CORENA JOSEPH LMFT
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
1106H00000XMarriage & Family Therapist146726CA

General Provider Information

NPI Number : 1881719177
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARRERA CORENA JOSEPH LMFT
Provider Business Mailing Address
First Line : 3031 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-3033
Country : US
Telephone Number : 323-373-2400
Fax Number :
Provider Business Practice Location Address
First Line : 5054 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90037-2946
Country : US
Telephone Number : 323-373-2444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 07/03/2024

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Directions to “ KARRERA CORENA JOSEPH LMFT” Practice Location

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