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NPI Code Detail

MEDICARE: ZULMA IRENE EHLINE

MEDICARE:   ZULMA IRENE EHLINE
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1437647849
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZULMA IRENE EHLINE
Provider Business Mailing Address
First Line : 525 S JUANITA AVE
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-3827
Country : US
Telephone Number : 310-741-8472
Fax Number : 310-301-8488
Provider Business Practice Location Address
First Line : 525 S JUANITA AVE
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-3827
Country : US
Telephone Number : 310-741-8472
Fax Number : 310-301-8488
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2018
Last Update Date : 05/01/2018

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Directions to “ ZULMA IRENE EHLINE ” Practice Location

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