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NPI Code Detail

MEDICARE: VINCENT PRICE MSW/ASW

MEDICARE: VINCENT PRICE MSW/ASW
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
1104100000XSocial WorkerASW65742CA

General Provider Information

NPI Number : 1073974507
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINCENT PRICE MSW/ASW
Provider Business Mailing Address
First Line : 4714 AUTRY AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90808-1115
Country : US
Telephone Number : 562-200-7312
Fax Number :
Provider Business Practice Location Address
First Line : 2001 RIVER AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-3622
Country : US
Telephone Number : 562-200-7312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2016
Last Update Date : 03/10/2016

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Directions to “ VINCENT PRICE MSW/ASW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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