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NPI Code Detail

MEDICARE: SOPHIA DIGIOVANNI

MEDICARE:   SOPHIA  DIGIOVANNI
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 TherapistAMFT160574CA
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1043919632
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA DIGIOVANNI
Provider Business Mailing Address
First Line : 525 W AVENUE P4
Second Line :
City : PALMDALE
State : CA
Zip : 93551-3743
Country : US
Telephone Number : 661-272-9996
Fax Number : 661-272-0438
Provider Business Practice Location Address
First Line : 525 W AVENUE P4
Second Line :
City : PALMDALE
State : CA
Zip : 93551-3743
Country : US
Telephone Number : 661-272-9996
Fax Number : 661-272-0438
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2023
Last Update Date : 06/02/2026

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Directions to “ SOPHIA DIGIOVANNI ” Practice Location

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