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NPI Code Detail

MEDICARE: MARIANA ESTER DEL CID BARDALES

MEDICARE:   MARIANA ESTER DEL CID BARDALES
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 Therapist157803CA

General Provider Information

NPI Number : 1538707542
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANA ESTER DEL CID BARDALES
Provider Business Mailing Address
First Line : 8939 S SEPULVEDA BLVD STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-3667
Country : US
Telephone Number : 866-863-4645
Fax Number :
Provider Business Practice Location Address
First Line : 8939 S SEPULVEDA BLVD STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-3667
Country : US
Telephone Number : 866-863-4645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2019
Last Update Date : 01/15/2026

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Directions to “ MARIANA ESTER DEL CID BARDALES ” Practice Location

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