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NPI Code Detail

MEDICARE: MARIA BARNES

MEDICARE: MARIA BARNES
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
1251S00000XCommunity/Behavioral Health Agency31657CA
2261QM0850XAdult Mental Health Clinic/Center31657CA

General Provider Information

NPI Number : 1134530116
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARIA BARNES
Provider Business Mailing Address
First Line : 14418 ARTHUR ST
Second Line :
City : OAK HILLS
State : CA
Zip : 92344-9507
Country : US
Telephone Number : 626-826-7251
Fax Number :
Provider Business Practice Location Address
First Line : 14418 ARTHUR ST.
Second Line :
City : HESPERIA
State : CA
Zip : 92344-9507
Country : US
Telephone Number : 626-826-7251
Fax Number :
Authorized Official
Title or Position : LPT
Name : MARIA BARNES
Credential : NURSE
Telephone Number : 626-826-7251
Provider Enumeration Date : 05/13/2014
Last Update Date : 05/13/2014

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Directions to “MARIA BARNES ” Practice Location

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