MEDICARE: CLAUDIA PATRICIA PRECIADO

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1003032863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA PATRICIA PRECIADO

Provider Business Mailing Address
First Line	:	2527 S BUNDY DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-2719
Country	:	US
Telephone Number	:	310-450-0660
Fax Number	:	424-273-1878

Provider Business Practice Location Address
First Line	:	2527 S BUNDY DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-2719
Country	:	US
Telephone Number	:	310-450-0660
Fax Number	:	310-450-8780

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

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	06/27/2013

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