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NPI Code Detail

MEDICARE: ROBERT MUNOZ

MEDICARE: ROBERT MUNOZ
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCA

General Provider Information

NPI Number : 1376052605
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT MUNOZ
Provider Business Mailing Address
First Line : 10425 PAINTER AVE
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-3429
Country : US
Telephone Number : 562-906-2685
Fax Number :
Provider Business Practice Location Address
First Line : 10425 PAINTER AVE
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-3429
Country : US
Telephone Number : 562-906-2685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2017
Last Update Date : 07/21/2022

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Directions to “ ROBERT MUNOZ ” Practice Location

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