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NPI Code Detail

MEDICARE: ANGELICA ELIZABETH FARIAS-ZUNIGA

MEDICARE: ANGELICA ELIZABETH FARIAS-ZUNIGA
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
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1235450503
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELICA ELIZABETH FARIAS-ZUNIGA
Provider Business Mailing Address
First Line : 1196 3RD AVE
Second Line :
City : CHULA VISTA
State : CA
Zip : 91911-3131
Country : US
Telephone Number : 619-261-7807
Fax Number :
Provider Business Practice Location Address
First Line : 1196 3RD AVE
Second Line :
City : CHULA VISTA
State : CA
Zip : 91911-3131
Country : US
Telephone Number : 619-427-4661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2010
Last Update Date : 08/12/2022

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Directions to “ ANGELICA ELIZABETH FARIAS-ZUNIGA ” Practice Location

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