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NPI Code Detail

MEDICARE: MRS. KARMEN MADATYAN-FLORIOLLI M.A.

MEDICARE: MRS. KARMEN MADATYAN-FLORIOLLI M.A.
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 Therapist58947CA

General Provider Information

NPI Number : 1609185529
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KARMEN MADATYAN-FLORIOLLI M.A.
Provider Business Mailing Address
First Line : 1207 E FRUIT ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92701-4206
Country : US
Telephone Number : 714-953-9373
Fax Number :
Provider Business Practice Location Address
First Line : 1207 E FRUIT ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92701-4206
Country : US
Telephone Number : 714-953-9373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2010
Last Update Date : 09/27/2010

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