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NPI Code Detail

MEDICARE: MS. CLAUDIA OTERO MONJARAZ

MEDICARE: MS. CLAUDIA OTERO MONJARAZ
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1124218078
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CLAUDIA OTERO MONJARAZ
Provider Business Mailing Address
First Line : 1319 FRUITVALE AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94601-2927
Country : US
Telephone Number : 510-535-2303
Fax Number : 510-535-2346
Provider Business Practice Location Address
First Line : 3315 INTERNATIONAL BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94601-3005
Country : US
Telephone Number : 510-536-4764
Fax Number : 510-536-4766
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2007
Last Update Date : 07/26/2007

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Directions to “ MS. CLAUDIA OTERO MONJARAZ ” Practice Location

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