MEDICARE: NELSON FRANCISCO SAEZ

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
1	104100000X	Social Worker	98554	CA
2	1041C0700X	Clinical Social Worker	98554	CA

General Provider Information

NPI Number	:	1154706919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NELSON FRANCISCO SAEZ

Provider Business Mailing Address
First Line	:	441 N CENTRAL AVE STE 3
Second Line	:
City	:	CAMPBELL
State	:	CA
Zip	:	95008-1428
Country	:	US
Telephone Number	:	831-854-7251
Fax Number	:

Provider Business Practice Location Address
First Line	:	441 N CENTRAL AVE STE 3
Second Line	:
City	:	CAMPBELL
State	:	CA
Zip	:	95008-1428
Country	:	US
Telephone Number	:	831-854-7251
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2015
Last Update Date	:	07/26/2024

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Directions to “ NELSON FRANCISCO SAEZ ” Practice Location

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