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NPI Code Detail

MEDICARE: MISS SONIA ZAMUDIO B.A.

MEDICARE: MISS SONIA ZAMUDIO B.A.
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
2225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1720119969
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SONIA ZAMUDIO B.A.
Provider Business Mailing Address
First Line : 1829 DARWIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-3221
Country : US
Telephone Number : 323-221-7145
Fax Number :
Provider Business Practice Location Address
First Line : 1000 GOODRICH BLVD
Second Line :
City : COMMERCE
State : CA
Zip : 90022-5103
Country : US
Telephone Number : 323-832-9795
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 06/15/2011

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Directions to “ MISS SONIA ZAMUDIO B.A.” Practice Location

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