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NPI Code Detail

MEDICARE: ANA BERTHA VELIZ

MEDICARE: ANA BERTHA VELIZ
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
1104100000XSocial Worker106209CA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1336591825
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA BERTHA VELIZ
Provider Business Mailing Address
First Line : 1330 W RAMSEY ST
Second Line :
City : BANNING
State : CA
Zip : 92220-4477
Country : US
Telephone Number : 951-849-7142
Fax Number :
Provider Business Practice Location Address
First Line : 1330 W RAMSEY ST
Second Line :
City : BANNING
State : CA
Zip : 92220-4477
Country : US
Telephone Number : 951-849-7142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2016
Last Update Date : 12/02/2025

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Directions to “ ANA BERTHA VELIZ ” Practice Location

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