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NPI Code Detail

MEDICARE: MISS PATRICIA PAZ MOYA M.A.

MEDICARE: MISS PATRICIA PAZ MOYA M.A.
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1174655716
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS PATRICIA PAZ MOYA M.A.
Provider Business Mailing Address
First Line : 12450 VAN NUYS BLVD STE 100
Second Line :
City : PACOIMA
State : CA
Zip : 91331-1392
Country : US
Telephone Number : 818-896-8366
Fax Number :
Provider Business Practice Location Address
First Line : 12450 VAN NUYS BLVD STE 100
Second Line :
City : PACOIMA
State : CA
Zip : 91331-1392
Country : US
Telephone Number : 818-896-8366
Fax Number : 818-896-8392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2007
Last Update Date : 05/29/2013

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Directions to “ MISS PATRICIA PAZ MOYA M.A.” Practice Location

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