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NPI Code Detail

MEDICARE: XENIA BOOKER

MEDICARE: XENIA BOOKER
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1326177924
Entity Type Code : Individual
Provider Name (Legal Business Name) : XENIA BOOKER
Provider Business Mailing Address
First Line : 15339 SATICOY ST
Second Line :
City : VAN NUYS
State : CA
Zip : 91406-3345
Country : US
Telephone Number : 818-355-0917
Fax Number :
Provider Business Practice Location Address
First Line : 15339 SATICOY ST
Second Line :
City : VAN NUYS
State : CA
Zip : 91406-3345
Country : US
Telephone Number : 818-267-2639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 05/13/2014

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Directions to “ XENIA BOOKER ” Practice Location

Language Start Address Practice Location
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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