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NPI Code Detail

MEDICARE: LUZ CAZARES

MEDICARE:   LUZ  CAZARES
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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1801581376
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUZ CAZARES
Provider Business Mailing Address
First Line : 1228 E 74TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90001-2408
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Provider Business Practice Location Address
First Line : 1228 E 74TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90001-2408
Country : US
Telephone Number : 323-797-2643
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2023
Last Update Date : 04/10/2023

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Directions to “ LUZ CAZARES ” Practice Location

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