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NPI Code Detail

MEDICARE: GEORGIA FOOTE

MEDICARE:   GEORGIA  FOOTE
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
1163WP0808XPsychiatric/Mental Health Registered Nurse454959CA

General Provider Information

NPI Number : 1669323309
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGIA FOOTE
Provider Business Mailing Address
First Line : 6060 N PARAMOUNT BLVD
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-3711
Country : US
Telephone Number : 562-630-8672
Fax Number : 562-633-3712
Provider Business Practice Location Address
First Line : 6060 N PARAMOUNT BLVD
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-3711
Country : US
Telephone Number : 562-630-8672
Fax Number : 562-633-3712
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ GEORGIA FOOTE ” Practice Location

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