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NPI Code Detail

MEDICARE: KATORA MAE YELLOW HORSE-RUIZ LCSW

MEDICARE: KATORA MAE YELLOW HORSE-RUIZ 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
1171M00000XCase Manager/Care Coordinator
21041C0700XClinical Social Worker94872CA

General Provider Information

NPI Number : 1508396110
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATORA MAE YELLOW HORSE-RUIZ LCSW
Provider Business Mailing Address
First Line : 1795 LLAGAS RD
Second Line :
City : MORGAN HILL
State : CA
Zip : 95037-9547
Country : US
Telephone Number : 669-253-0940
Fax Number :
Provider Business Practice Location Address
First Line : 1118 MERIDIAN AVE STE 150
Second Line :
City : SAN JOSE
State : CA
Zip : 95125-4352
Country : US
Telephone Number : 408-445-8172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2017
Last Update Date : 06/09/2025

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Directions to “ KATORA MAE YELLOW HORSE-RUIZ LCSW” Practice Location

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