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NPI Code Detail

MEDICARE: MRS. SANDRA I WARF BA

MEDICARE: MRS. SANDRA I WARF BA
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
1171M00000XCase Manager/Care CoordinatorCA
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1679791735
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SANDRA I WARF BA
Provider Business Mailing Address
First Line : 2650 E FOOTHILL BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91107-3439
Country : US
Telephone Number : 626-577-2261
Fax Number :
Provider Business Practice Location Address
First Line : 2650 E FOOTHILL BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91107-3439
Country : US
Telephone Number : 626-577-2261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 01/23/2024

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