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NPI Code Detail

MEDICARE: ADRIAN DE HARO

MEDICARE: ADRIAN DE HARO
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
11041C0700XClinical Social WorkerASW134321CA

General Provider Information

NPI Number : 1235914649
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIAN DE HARO
Provider Business Mailing Address
First Line : 3307 SHADOW HILL LN
Second Line :
City : NAPA
State : CA
Zip : 94558-5561
Country : US
Telephone Number : 707-225-7948
Fax Number :
Provider Business Practice Location Address
First Line : 8912 VOLUNTEER LN
Second Line :
City : SACRAMENTO
State : CA
Zip : 95826-3221
Country : US
Telephone Number : 916-344-0199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2023
Last Update Date : 04/29/2026

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Directions to “ ADRIAN DE HARO ” Practice Location

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