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NPI Code Detail

MEDICARE: VLADIMIR REDNIKOV LCSW

MEDICARE: VLADIMIR REDNIKOV 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 Worker100440CA

General Provider Information

NPI Number : 1487036182
Entity Type Code : Individual
Provider Name (Legal Business Name) : VLADIMIR REDNIKOV LCSW
Provider Business Mailing Address
First Line : 402 W BROADWAY STE 400
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-3554
Country : US
Telephone Number : 866-478-3978
Fax Number :
Provider Business Practice Location Address
First Line : 402 W BROADWAY STE 400
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-3554
Country : US
Telephone Number : 866-478-3978
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2015
Last Update Date : 04/19/2026

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Directions to “ VLADIMIR REDNIKOV LCSW” Practice Location

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