MEDICARE: REBECA CAZAREZ

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	1041C0700X	Clinical Social Worker	LCSW122866	CA

General Provider Information

NPI Number	:	1639596315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECA CAZAREZ

Provider Business Mailing Address
First Line	:	700 AIRPORT BLVD STE AND495
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-1908
Country	:	US
Telephone Number	:	650-517-8220
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 AIRPORT BLVD STE AND495
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-1908
Country	:	US
Telephone Number	:	415-682-3276
Fax Number	:

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

Provider Enumeration Date	:	03/19/2014
Last Update Date	:	01/27/2026

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Directions to “ REBECA CAZAREZ ” Practice Location

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