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NPI Code Detail

MEDICARE: DAPHNE ANNE TANORI CATC II

MEDICARE: DAPHNE ANNE TANORI CATC II
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCA
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1902953276
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAPHNE ANNE TANORI CATC II
Provider Business Mailing Address
First Line : 11041 VALLEY BLVD
Second Line :
City : EL MONTE
State : CA
Zip : 91731-2516
Country : US
Telephone Number : 626-442-4177
Fax Number :
Provider Business Practice Location Address
First Line : 11041 VALLEY BLVD
Second Line :
City : EL MONTE
State : CA
Zip : 91731-2516
Country : US
Telephone Number : 626-442-4177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 02/29/2024

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Directions to “ DAPHNE ANNE TANORI CATC II” Practice Location

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