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NPI Code Detail

MEDICARE: MAKENSY T CELESTINE

MEDICARE:   MAKENSY T CELESTINE
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 Worker

General Provider Information

NPI Number : 1275612657
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKENSY T CELESTINE
Provider Business Mailing Address
First Line : PO BOX 43
Second Line :
City : SAN DIMAS
State : CA
Zip : 91773-0043
Country : US
Telephone Number : 310-913-1703
Fax Number :
Provider Business Practice Location Address
First Line : 2001 S BARRINGTON AVE STE 215
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-5385
Country : US
Telephone Number : 949-993-8606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2006
Last Update Date : 01/03/2024

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Directions to “ MAKENSY T CELESTINE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.