MEDICARE: GABRIELA NAJERA

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	1041C0700X	Clinical Social Worker
2	390200000X	Student in an Organized Health Care Education/Training Program
3	1041C0700X	Clinical Social Worker	127167	CA

General Provider Information

NPI Number	:	1013566900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELA NAJERA

Provider Business Mailing Address
First Line	:	1200 WILSHIRE BLVD STE 400
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-1919
Country	:	US
Telephone Number	:	213-481-7464
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 WILSHIRE BLVD STE 400
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-1919
Country	:	US
Telephone Number	:	818-778-5406
Fax Number	:

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

Provider Enumeration Date	:	09/04/2019
Last Update Date	:	11/15/2024

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