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NPI Code Detail

MEDICARE: MAIYA CORRINE BERTRAND

MEDICARE: MAIYA CORRINE BERTRAND
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 Worker136221CA

General Provider Information

NPI Number : 1326679770
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAIYA CORRINE BERTRAND
Provider Business Mailing Address
First Line : 222 S HARBOR BLVD STE 650
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-3756
Country : US
Telephone Number : 714-817-5646
Fax Number :
Provider Business Practice Location Address
First Line : 222 S HARBOR BLVD STE 650
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-3756
Country : US
Telephone Number : 714-871-5646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2020
Last Update Date : 12/29/2025

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Directions to “ MAIYA CORRINE BERTRAND ” 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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