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NPI Code Detail

MEDICARE: MARTA TESFAMARIAM

MEDICARE: MARTA TESFAMARIAM
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
1104100000XSocial Worker108601CA

General Provider Information

NPI Number : 1669636221
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTA TESFAMARIAM
Provider Business Mailing Address
First Line : 233 S QUINTANA DR
Second Line :
City : ANAHEIM
State : CA
Zip : 92807-4029
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 233 S QUINTANA DR
Second Line :
City : ANAHEIM
State : CA
Zip : 92807-4029
Country : US
Telephone Number : 714-202-2106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2008
Last Update Date : 07/25/2023

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Directions to “ MARTA TESFAMARIAM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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