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NPI Code Detail

MEDICARE: JINA TINTOR LCSW

MEDICARE: JINA TINTOR 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
1101YM0800XMental Health CounselorASW65602CA
2104100000XSocial WorkerASW65602CA
31041C0700XClinical Social Worker85318CA
41041C0700XClinical Social WorkerLCSW85318CA

General Provider Information

NPI Number : 1538340948
Entity Type Code : Individual
Provider Name (Legal Business Name) : JINA TINTOR LCSW
Provider Business Mailing Address
First Line : 3741 STOCKER ST STE 201
Second Line :
City : VIEW PARK
State : CA
Zip : 90008-5148
Country : US
Telephone Number : 626-327-3618
Fax Number :
Provider Business Practice Location Address
First Line : 8730 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90044-4830
Country : US
Telephone Number : 323-751-3026
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2007
Last Update Date : 09/20/2018

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