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NPI Code Detail

MEDICARE: MS. BETH JOY KAUFMAN RYKER MSW, LCSW, BCD

MEDICARE: MS. BETH JOY KAUFMAN RYKER MSW, LCSW, BCD
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 WorkerLCS9087CA

General Provider Information

NPI Number : 1568593275
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BETH JOY KAUFMAN RYKER MSW, LCSW, BCD
Provider Business Mailing Address
First Line : 10318 KEY WEST ST
Second Line :
City : TEMPLE CITY
State : CA
Zip : 91780-3476
Country : US
Telephone Number : 626-448-6304
Fax Number :
Provider Business Practice Location Address
First Line : 1701 CAMINO PALMERO ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90046-2902
Country : US
Telephone Number : 323-876-0550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 07/08/2007

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