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NPI Code Detail

MEDICARE: LAURA ISELA HERNANDEZ MACEDO LMFT

MEDICARE: LAURA ISELA HERNANDEZ MACEDO LMFT
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
1106H00000XMarriage & Family TherapistLMFT160477CA

General Provider Information

NPI Number : 1326584798
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ISELA HERNANDEZ MACEDO LMFT
Provider Business Mailing Address
First Line : 23990 EUCALYPTUS AVE
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92553-5504
Country : US
Telephone Number : 951-571-4689
Fax Number :
Provider Business Practice Location Address
First Line : 23990 EUCALYPTUS AVE
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92553-5504
Country : US
Telephone Number : 951-571-4689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2017
Last Update Date : 02/20/2026

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Directions to “ LAURA ISELA HERNANDEZ MACEDO LMFT” Practice Location

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