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NPI Code Detail

MEDICARE: MS. SARA EDELMIRA PINEDA

MEDICARE:  MS. SARA EDELMIRA PINEDA
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
1101YM0800XMental Health CounselorIMF 60328CA
2106H00000XMarriage & Family TherapistLMFT82842CA

General Provider Information

NPI Number : 1225298151
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARA EDELMIRA PINEDA
Provider Business Mailing Address
First Line : 7038 OWENSMOUTH AVE
Second Line :
City : CANOGA PARK
State : CA
Zip : 91303-3159
Country : US
Telephone Number : 818-347-8565
Fax Number : 818-361-5384
Provider Business Practice Location Address
First Line : 7038 OWENSMOUTH AVE
Second Line :
City : CANOGA PARK
State : CA
Zip : 91303-3198
Country : US
Telephone Number : 818-347-8565
Fax Number : 818-361-5384
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2008
Last Update Date : 10/28/2014

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Directions to “ MS. SARA EDELMIRA PINEDA ” Practice Location

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