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NPI Code Detail

MEDICARE: FEDERICO ESCOBEDO JARQUE

MEDICARE: FEDERICO ESCOBEDO JARQUE
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
1101YM0800XMental Health Counselor4378CA
2106H00000XMarriage & Family Therapist98269CA

General Provider Information

NPI Number : 1083998454
Entity Type Code : Individual
Provider Name (Legal Business Name) : FEDERICO ESCOBEDO JARQUE
Provider Business Mailing Address
First Line : 1907 BOYS REPUBLIC DR
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-5447
Country : US
Telephone Number : 909-628-1217
Fax Number :
Provider Business Practice Location Address
First Line : 1907 BOYS REPUBLIC DR
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-5447
Country : US
Telephone Number : 909-628-1217
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2011
Last Update Date : 02/25/2019

Similar Medicare Providers

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Practice Location Address:
1907 BOYS REPUBLIC DR
CHINO HILLS, CA
91709-5447
Practice Phone: 909-628-1217
Practice Fax:
1053489567 — MR. DAVID JOHN PALMER LCSW
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CHINO HILLS, CA
91709-5447
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1043359979 — NOREEN KOPACZEWSKI LCSW
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Practice Fax: 909-993-1106
1851431498 — KRISTEN KOLZOW LCSW
Practice Location Address:
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CHINO HILLS, CA
91709-5447
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Practice Fax: 909-993-1106
1093929341 — MRS. DIANE SARA VARGAS LMFT
Practice Location Address:
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CHINO HILLS, CA
91709-5447
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1578893434 — MARK DAVID HINOJOS
Practice Location Address:
1907 BOYS REPUBLIC DR
CHINO HILLS, CA
91709-5447
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Directions to “ FEDERICO ESCOBEDO JARQUE ” 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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