MEDICARE: RAUL MUNOZ

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
1	1041C0700X	Clinical Social Worker	129954	CA

General Provider Information

NPI Number	:	1487395067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAUL MUNOZ

Provider Business Mailing Address
First Line	:	1499 HUNTINGTON DR STE 100
Second Line	:
City	:	SOUTH PASADENA
State	:	CA
Zip	:	91030-5443
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1499 HUNTINGTON DR STE 100
Second Line	:
City	:	SOUTH PASADENA
State	:	CA
Zip	:	91030-5443
Country	:	US
Telephone Number	:	626-403-4370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2022
Last Update Date	:	01/14/2026

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Directions to “ RAUL MUNOZ ” Practice Location

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