MEDICARE: MS. ELIZABETH ANN CARIAS CDS

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1578794798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH ANN CARIAS CDS

Provider Business Mailing Address
First Line	:	10145 SALOMA AVE
Second Line	:
City	:	MISSION HILLS
State	:	CA
Zip	:	91345-2812
Country	:	US
Telephone Number	:	818-800-7348
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 WALL ST
Second Line	:	#414
City	:	LOS ANGELES
State	:	CA
Zip	:	90013-2144
Country	:	US
Telephone Number	:	213-537-0066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2009
Last Update Date	:	08/05/2009

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