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NPI Code Detail

MEDICARE: PATRICIA CANO

MEDICARE: PATRICIA CANO
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
1106H00000XMarriage & Family Therapist
2106H00000XMarriage & Family TherapistCA

General Provider Information

NPI Number : 1831221738
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA CANO
Provider Business Mailing Address
First Line : 3030 EAGLE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90063-3118
Country : US
Telephone Number : 323-691-8635
Fax Number :
Provider Business Practice Location Address
First Line : 3316 W BEVERLY BLVD
Second Line :
City : MONTEBELLO
State : CA
Zip : 90640-1537
Country : US
Telephone Number : 323-722-4529
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2007
Last Update Date : 01/15/2020

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Directions to “ PATRICIA CANO ” Practice Location

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