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NPI Code Detail

MEDICARE: DR. ANGELA N ZUCCARINO PH.D.

MEDICARE:  DR. ANGELA N ZUCCARINO  PH.D.
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
1103T00000XPsychologistPSY18258CA

General Provider Information

NPI Number : 1366713505
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA N ZUCCARINO PH.D.
Provider Business Mailing Address
First Line : 3550 WILSHIRE BLVD
Second Line : SUITE 670
City : LOS ANGELES
State : CA
Zip : 90010-2401
Country : US
Telephone Number : 213-384-7660
Fax Number : 213-384-2084
Provider Business Practice Location Address
First Line : 3550 WILSHIRE BLVD
Second Line : SUITE 670
City : LOS ANGELES
State : CA
Zip : 90010-2401
Country : US
Telephone Number : 213-384-7660
Fax Number : 213-384-2084
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2012
Last Update Date : 01/19/2012

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Directions to “ DR. ANGELA N ZUCCARINO PH.D.” Practice Location

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