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NPI Code Detail

MEDICARE: MARIANA OCAMPO MSW

MEDICARE: MARIANA OCAMPO 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
1104100000XSocial WorkerASW86150CA

General Provider Information

NPI Number : 1386109320
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANA OCAMPO MSW
Provider Business Mailing Address
First Line : 760 MOUNTAIN VIEW ST
Second Line :
City : ALTADENA
State : CA
Zip : 91001-4996
Country : US
Telephone Number : 626-773-3802
Fax Number :
Provider Business Practice Location Address
First Line : 760 MOUNTAIN VIEW ST
Second Line :
City : ALTADENA
State : CA
Zip : 91001-4996
Country : US
Telephone Number : 626-773-3802
Fax Number : 626-204-8507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2019
Last Update Date : 03/18/2019

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Directions to “ MARIANA OCAMPO MSW” Practice Location

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