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NPI Code Detail

MEDICARE: KRYSTINA VARGAS

MEDICARE: KRYSTINA VARGAS
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 Therapist

General Provider Information

NPI Number : 1346044260
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYSTINA VARGAS
Provider Business Mailing Address
First Line : 17020 BURBANK BLVD APT 305
Second Line :
City : ENCINO
State : CA
Zip : 91316-1827
Country : US
Telephone Number : 480-278-3744
Fax Number :
Provider Business Practice Location Address
First Line : 4900 SERRANIA AVE
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-3301
Country : US
Telephone Number : 818-347-1577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2025
Last Update Date : 04/28/2026

Similar Medicare Providers

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Directions to “ KRYSTINA VARGAS ” Practice Location

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