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NPI Code Detail

MEDICARE: BLANCA LUZ VIGIL

MEDICARE: BLANCA LUZ VIGIL
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
1106H00000XMarriage & Family Therapist
2225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1538304662
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLANCA LUZ VIGIL
Provider Business Mailing Address
First Line : 447 N EL MOLINO AVE
Second Line :
City : PASADENA
State : CA
Zip : 91101-1403
Country : US
Telephone Number : 626-577-8480
Fax Number : 626-577-8978
Provider Business Practice Location Address
First Line : 3600 WILSHIRE BLVD STE 2200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-2632
Country : US
Telephone Number : 213-382-4400
Fax Number : 213-382-4494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2008
Last Update Date : 11/26/2018

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Directions to “ BLANCA LUZ VIGIL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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