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NPI Code Detail

MEDICARE: ANDREA PARRA

MEDICARE: ANDREA PARRA
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
1390200000XStudent in an Organized Health Care Education/Training Program
2235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1770896623
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA PARRA
Provider Business Mailing Address
First Line : 4760 SOUTH SEPULVEDA BLVD
Second Line :
City : CULVER CITY
State : CA
Zip : 90230
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17100 E SHEA BLVD STE 600
Second Line :
City : FOUNTAIN HILLS
State : AZ
Zip : 85268-6663
Country : US
Telephone Number : 480-837-4565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2010
Last Update Date : 10/11/2024

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Directions to “ ANDREA PARRA ” Practice Location

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