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NPI Code Detail

MEDICARE: MISS JEFFREY LUMAYA MSW

MEDICARE: MISS JEFFREY LUMAYA MSW
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 WorkerLCS21754CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11041C0700XOTHERCALCSW

General Provider Information

NPI Number : 1083791255
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JEFFREY LUMAYA MSW
Provider Business Mailing Address
First Line : PO BOX 802342
Second Line :
City : VALENCIA
State : CA
Zip : 91380-2342
Country : US
Telephone Number : 661-733-4434
Fax Number :
Provider Business Practice Location Address
First Line : 450 BAUCHET ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-2907
Country : US
Telephone Number : 213-473-6574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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