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NPI Code Detail

MEDICARE: MS. NZINGA YEOMOJA HYMAN M.B.A

MEDICARE: MS. NZINGA YEOMOJA HYMAN M.B.A
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
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1366877680
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NZINGA YEOMOJA HYMAN M.B.A
Provider Business Mailing Address
First Line : 1002 PICO BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90405-1416
Country : US
Telephone Number : 310-314-6200
Fax Number :
Provider Business Practice Location Address
First Line : 1002 PICO BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90405-1416
Country : US
Telephone Number : 310-314-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2013
Last Update Date : 10/20/2021

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