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NPI Code Detail

MEDICARE: NAOMI LEVI

MEDICARE: NAOMI LEVI
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
11041C0700XClinical Social WorkerLCSW62224CA

General Provider Information

NPI Number : 1801063524
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOMI LEVI
Provider Business Mailing Address
First Line : 1453 16TH STREET
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-2715
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1453 16TH ST
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-2715
Country : US
Telephone Number : 310-883-1220
Fax Number : 310-883-1223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2008
Last Update Date : 10/29/2015

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Directions to “ NAOMI LEVI ” Practice Location

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