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NPI Code Detail

MEDICARE: JOSIE BREGER LCSW

MEDICARE:   JOSIE  BREGER  LCSW
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
11041C0700XClinical Social WorkerLCS19152CA

General Provider Information

NPI Number : 1063540748
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSIE BREGER LCSW
Provider Business Mailing Address
First Line : 6116 S CITRUS AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90043-3315
Country : US
Telephone Number : 310-428-1466
Fax Number :
Provider Business Practice Location Address
First Line : 6116 S CITRUS AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90043-3315
Country : US
Telephone Number : 310-428-1466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 03/02/2026

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Directions to “ JOSIE BREGER LCSW” Practice Location

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