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NPI Code Detail

MEDICARE: AMBER MAKAR LCSW

MEDICARE: AMBER MAKAR 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 Worker24537CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
124537OTHERCACALIFORNIA BOARD OF BEHAVIORAL SCIENCES

General Provider Information

NPI Number : 1518156421
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER MAKAR LCSW
Provider Business Mailing Address
First Line : PO BOX 14683
Second Line :
City : LONG BEACH
State : CA
Zip : 90853-4683
Country : US
Telephone Number : 951-217-9558
Fax Number :
Provider Business Practice Location Address
First Line : 649 E ALBERTONI ST
Second Line : SUITE 100
City : CARSON
State : CA
Zip : 90746-1538
Country : US
Telephone Number : 310-436-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2007
Last Update Date : 08/26/2014

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