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NPI Code Detail

MEDICARE: ANDREA GENOVESE PPS

MEDICARE: ANDREA GENOVESE PPS
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
1101YS0200XSchool CounselorCA

General Provider Information

NPI Number : 1720940422
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA GENOVESE PPS
Provider Business Mailing Address
First Line : 501 N CRESCENT WAY
Second Line :
City : ANAHEIM
State : CA
Zip : 92801-5401
Country : US
Telephone Number : 714-999-3511
Fax Number :
Provider Business Practice Location Address
First Line : 501 S WESTERN AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-1615
Country : US
Telephone Number : 714-220-4040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ ANDREA GENOVESE PPS” Practice Location

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