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NPI Code Detail

MEDICARE: GIANNINA GABRIELA VARGAS

MEDICARE: GIANNINA GABRIELA VARGAS
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 Worker106296CA

General Provider Information

NPI Number : 1811238819
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIANNINA GABRIELA VARGAS
Provider Business Mailing Address
First Line : 1940 E DEERE AVE STE 100
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-5718
Country : US
Telephone Number : 714-640-9935
Fax Number :
Provider Business Practice Location Address
First Line : 1940 E DEERE AVE STE 100
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-5718
Country : US
Telephone Number : 714-640-9935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2013
Last Update Date : 11/07/2023

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Directions to “ GIANNINA GABRIELA VARGAS ” Practice Location

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