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NPI Code Detail

MEDICARE: ERICA TOBIN LCSW

MEDICARE: ERICA TOBIN LCSW
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
1104100000XSocial Worker123387CA
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1205196219
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA TOBIN LCSW
Provider Business Mailing Address
First Line : 4211 W ADAMS BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90018-2228
Country : US
Telephone Number : 323-735-0228
Fax Number :
Provider Business Practice Location Address
First Line : 340 N MADISON AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-3504
Country : US
Telephone Number : 323-644-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2012
Last Update Date : 05/04/2026

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