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NPI Code Detail

MEDICARE: ANA LAURA PLASCENCIA

MEDICARE:   ANA LAURA PLASCENCIA
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) CounselorR1487941122CA

General Provider Information

NPI Number : 1407479843
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA LAURA PLASCENCIA
Provider Business Mailing Address
First Line : 109 E 11TH ST
Second Line :
City : CORONA
State : CA
Zip : 92879-2157
Country : US
Telephone Number : 951-427-3482
Fax Number :
Provider Business Practice Location Address
First Line : 109 E 11TH ST
Second Line :
City : CORONA
State : CA
Zip : 92879-2157
Country : US
Telephone Number : 951-427-3482
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2020
Last Update Date : 03/10/2026

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Directions to “ ANA LAURA PLASCENCIA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.