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NPI 1902606056

NPI 1902606056 : INES POZA-JUNCAL MA, PHD : SANTA MONICA, CA

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General NPI Number Information
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    NPI Number           |    1902606056
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    Entity Type          |    Individual 
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    Provider Name        |    INES POZA-JUNCAL MA, PHD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/17/2025
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    Last Update Date     |    03/17/2025
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Provider Practice Location Address
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    Address Line         |    1452 19TH ST UNIT 3A 
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    City                 |    SANTA MONICA
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    State                |    CA
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    Zip                  |    90404-2814
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    Country              |    US
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    Telephone            |    310-430-4637
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    999 SUTTER ST STE 304 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94109-6023
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    Country              |    US
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    Telephone            |    415-997-7933
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    Fax                  |    
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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        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    94028809
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    License Number State |    CA
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