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NPI Code Detail

MEDICARE: JAMIE MUNOZ LMFT 106745

MEDICARE: JAMIE MUNOZ LMFT 106745
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 Therapist106745CA

General Provider Information

NPI Number : 1679608814
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE MUNOZ LMFT 106745
Provider Business Mailing Address
First Line : 21545 CENTRE POINTE PKWY
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91350-2947
Country : US
Telephone Number : 661-259-9439
Fax Number : 661-362-1034
Provider Business Practice Location Address
First Line : 21545 CENTRE POINTE PKWY
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91350-2947
Country : US
Telephone Number : 661-259-9439
Fax Number : 661-362-1034
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 07/24/2019

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