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NPI Code Detail

MEDICARE: SHIREEN NOELANI VARGA LMFT

MEDICARE: SHIREEN NOELANI VARGA LMFT
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
1106H00000XMarriage & Family TherapistCA

General Provider Information

NPI Number : 1043622509
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIREEN NOELANI VARGA LMFT
Provider Business Mailing Address
First Line : 1940 E DEERE AVE STE 100
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-5718
Country : US
Telephone Number : 657-641-4688
Fax Number :
Provider Business Practice Location Address
First Line : 1940 E DEERE AVE STE 100
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-5718
Country : US
Telephone Number : 657-641-4688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2014
Last Update Date : 02/26/2023

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