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NPI Code Detail

MEDICARE: HELEN MAE MURILLO

MEDICARE: HELEN MAE MURILLO
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 Coordinator
2106S00000XBehavior TechnicianBACB495015WY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689015117
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELEN MAE MURILLO
Provider Business Mailing Address
First Line : 801 CORPORATE CENTER DR STE 210
Second Line :
City : POMONA
State : CA
Zip : 91768-2627
Country : US
Telephone Number : 909-634-3974
Fax Number :
Provider Business Practice Location Address
First Line : 801 CORPORATE CENTER DR STE 210
Second Line :
City : POMONA
State : CA
Zip : 91768-2627
Country : US
Telephone Number : 909-634-3974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2013
Last Update Date : 07/22/2024

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Directions to “ HELEN MAE MURILLO ” Practice Location

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