MEDICARE: SOCAL INTERPRITING

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
1	171R00000X	Interpreter	500225	CA

General Provider Information

NPI Number	:	1790216125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOCAL INTERPRITING

Provider Business Mailing Address
First Line	:	8391 BEVERLY BLVD
Second Line	:	459
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-2633
Country	:	US
Telephone Number	:	213-380-3800
Fax Number	:	213-385-8720

Provider Business Practice Location Address
First Line	:	8391 BEVERLY BLVD # 459
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-2633
Country	:	US
Telephone Number	:	213-380-3800
Fax Number	:	213-385-8720

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. ANNA GURYANOVA
Credential	:
Telephone Number	:	213-380-3800

Provider Enumeration Date	:	03/27/2017
Last Update Date	:	03/27/2017

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