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NPI Code Detail

MEDICARE: MR. XAVIER H PIEDRA

MEDICARE: MR. XAVIER H PIEDRA
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
1171M00000XCase Manager/Care Coordinator
2101Y00000XCounselor

General Provider Information

NPI Number : 1225251481
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. XAVIER H PIEDRA
Provider Business Mailing Address
First Line : 6950 65TH ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-2316
Country : US
Telephone Number : 916-393-1222
Fax Number : 916-393-4513
Provider Business Practice Location Address
First Line : 6950 65TH ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-2316
Country : US
Telephone Number : 916-393-1222
Fax Number : 916-393-4513
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 03/16/2016

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