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NPI 1861884553

NPI 1861884553 : IRMA HERNANDEZ-GARCIA : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1861884553
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    Entity Type          |    Individual 
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    Provider Name        |    IRMA HERNANDEZ-GARCIA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/04/2015
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    Last Update Date     |    06/16/2023
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Provider Practice Location Address
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    Address Line         |    2121 W TEMPLE ST 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90026-4915
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    Country              |    US
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    Telephone            |    213-260-7600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2121 W TEMPLE ST 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90026-4915
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    Country              |    US
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    Telephone            |    213-385-5100
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    Fax                  |    323-232-2336
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    75879
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    114477
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    75879
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    114477
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    License Number State |    CA
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