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NPI Code Detail

MEDICARE: VIRGIL GLASS COMNTY HLTH WRK

MEDICARE: VIRGIL GLASS COMNTY HLTH WRK
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
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1316795826
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGIL GLASS COMNTY HLTH WRK
Provider Business Mailing Address
First Line : 10330 PIONEER BLVD STE 215
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-8277
Country : US
Telephone Number : 562-402-0677
Fax Number : 323-544-0967
Provider Business Practice Location Address
First Line : 10330 PIONEER BLVD STE 215
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-8277
Country : US
Telephone Number : 562-402-0677
Fax Number : 323-544-0967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2024
Last Update Date : 03/23/2026

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Directions to “ VIRGIL GLASS COMNTY HLTH WRK” 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.

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