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NPI Code Detail

MEDICARE: ANNA R VENTURA MSW

MEDICARE: ANNA R VENTURA MSW
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1346495173
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA R VENTURA MSW
Provider Business Mailing Address
First Line : 1157 LEMOYNE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-3206
Country : US
Telephone Number : 213-483-6335
Fax Number : 323-483-9876
Provider Business Practice Location Address
First Line : 1157 LEMOYNE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-3206
Country : US
Telephone Number : 213-483-6335
Fax Number : 323-483-9876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2008
Last Update Date : 11/20/2008

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Directions to “ ANNA R VENTURA MSW” Practice Location

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