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NPI Code Detail

MEDICARE: MAYRA L LOVE

MEDICARE:   MAYRA L LOVE
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
1104100000XSocial WorkerASW98653CA

General Provider Information

NPI Number : 1568943496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYRA L LOVE
Provider Business Mailing Address
First Line : 525 E 7TH ST STE 115
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-4559
Country : US
Telephone Number : 562-437-7706
Fax Number :
Provider Business Practice Location Address
First Line : 525 E 7TH ST STE 115
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-4559
Country : US
Telephone Number : 562-437-7706
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2018
Last Update Date : 03/27/2024

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Directions to “ MAYRA L LOVE ” Practice Location

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