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NPI Code Detail

MEDICARE: ZOHAR PELEG ASW

MEDICARE:   ZOHAR  PELEG  ASW
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 Worker96685CA

General Provider Information

NPI Number : 1629738786
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOHAR PELEG ASW
Provider Business Mailing Address
First Line : 1214 S WOOSTER ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-1408
Country : US
Telephone Number : 954-918-0701
Fax Number :
Provider Business Practice Location Address
First Line : 1214 S WOOSTER ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-1408
Country : US
Telephone Number : 954-918-0701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2021
Last Update Date : 12/29/2021

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Directions to “ ZOHAR PELEG ASW” Practice Location

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