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NPI Code Detail

MEDICARE: MARITZA VASQUEZ MSW

MEDICARE: MARITZA VASQUEZ 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 Worker

General Provider Information

NPI Number : 1437435021
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARITZA VASQUEZ MSW
Provider Business Mailing Address
First Line : 1325 W 60TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90044-2827
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1020 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 : 10/26/2011
Last Update Date : 10/26/2011

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Directions to “ MARITZA VASQUEZ MSW” Practice Location

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