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NPI Code Detail

MEDICARE: RUTH DOOLEY

MEDICARE: RUTH DOOLEY
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 WorkerLCS17542CA

General Provider Information

NPI Number : 1528424843
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH DOOLEY
Provider Business Mailing Address
First Line : 115 TEA LN
Second Line :
City : BREA
State : CA
Zip : 92821-7001
Country : US
Telephone Number : 714-801-8542
Fax Number :
Provider Business Practice Location Address
First Line : 100 S ANAHEIM BLVD
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-3848
Country : US
Telephone Number : 877-696-3622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2016
Last Update Date : 03/20/2024

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Directions to “ RUTH DOOLEY ” Practice Location

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