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NPI Code Detail

MEDICARE: KARLA SEGURA MS

MEDICARE: KARLA SEGURA MS
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
1235Z00000XSpeech-Language Pathologist27111CA

General Provider Information

NPI Number : 1114417458
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLA SEGURA MS
Provider Business Mailing Address
First Line : 923 20TH ST APT 2
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-1873
Country : US
Telephone Number : 209-639-5792
Fax Number :
Provider Business Practice Location Address
First Line : 7850 MISSION CENTER CT STE 100
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1323
Country : US
Telephone Number : 619-578-2232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2018
Last Update Date : 05/11/2018

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Directions to “ KARLA SEGURA MS” Practice Location

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