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NPI Code Detail

MEDICARE: INGA ELISABETH BUCHBINDER LCSW

MEDICARE: INGA ELISABETH BUCHBINDER LCSW
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
11041C0700XClinical Social Worker76790CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
176790OTHERCALICENSED CLINICAL SOCIAL WORKER

General Provider Information

NPI Number : 1417450784
Entity Type Code : Individual
Provider Name (Legal Business Name) : INGA ELISABETH BUCHBINDER LCSW
Provider Business Mailing Address
First Line : 16756 CHINO CORONA RD
Second Line :
City : EASTVALE
State : CA
Zip : 92880-9508
Country : US
Telephone Number : 347-834-2806
Fax Number :
Provider Business Practice Location Address
First Line : 16756 CHINO CORONA RD
Second Line :
City : EASTVALE
State : CA
Zip : 92880-9508
Country : US
Telephone Number : 909-597-1771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2018
Last Update Date : 06/04/2022

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