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NPI Code Detail

MEDICARE: MS. CAROL LYN OFFLEY MS

MEDICARE: MS. CAROL LYN OFFLEY MS
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

General Provider Information

NPI Number : 1265795611
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROL LYN OFFLEY MS
Provider Business Mailing Address
First Line : 1501 HUGHES WAY
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-1876
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1501 HUGHES WAY
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-1876
Country : US
Telephone Number : 310-221-6336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2012
Last Update Date : 01/11/2026

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