MEDICARE: MARIA DULMAGANOV ME

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	106S00000X	Behavior Technician		CA

General Provider Information

NPI Number	:	1073486072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA DULMAGANOV ME

Provider Business Mailing Address
First Line	:	6621 GLEN DR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-3152
Country	:	US
Telephone Number	:	714-392-9901
Fax Number	:

Provider Business Practice Location Address
First Line	:	6621 GLEN DR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-3152
Country	:	US
Telephone Number	:	714-392-9901
Fax Number	:

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

Provider Enumeration Date	:	09/25/2025
Last Update Date	:	09/25/2025

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Directions to “ MARIA DULMAGANOV ME” Practice Location

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