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NPI Code Detail

MEDICARE: DIANNA MARLENY LINARES LCSW

MEDICARE: DIANNA MARLENY LINARES 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 Worker71267CA

General Provider Information

NPI Number : 1528375920
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANNA MARLENY LINARES LCSW
Provider Business Mailing Address
First Line : 24910 WASHINGTON AVE STE 202
Second Line :
City : MURRIETA
State : CA
Zip : 92562-9284
Country : US
Telephone Number : 714-584-5047
Fax Number :
Provider Business Practice Location Address
First Line : 680 E COLORADO BLVD STE 180
Second Line :
City : PASADENA
State : CA
Zip : 91101-6144
Country : US
Telephone Number : 714-584-5047
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2010
Last Update Date : 01/17/2025

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