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NPI Code Detail

MEDICARE: MARIA BARRAGAN

MEDICARE: MARIA BARRAGAN
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 Counselor121403CA

General Provider Information

NPI Number : 1104135292
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA BARRAGAN
Provider Business Mailing Address
First Line : PO BOX 1771
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91729-1771
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1650 E 4TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92701-5151
Country : US
Telephone Number : 714-667-5220
Fax Number : 714-619-5937
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2010
Last Update Date : 10/03/2024

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Directions to “ MARIA BARRAGAN ” Practice Location

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