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NPI Code Detail

MEDICARE: SAPHAY NAN

MEDICARE: SAPHAY NAN
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 Worker76840CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558410068
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAPHAY NAN
Provider Business Mailing Address
First Line : 4510 E PACIFIC COAST HWY STE 600
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-6914
Country : US
Telephone Number : 562-346-1100
Fax Number :
Provider Business Practice Location Address
First Line : 4510 E PACIFIC COAST HWY STE 600
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-6914
Country : US
Telephone Number : 562-346-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 09/26/2023

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Directions to “ SAPHAY NAN ” Practice Location

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