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NPI Code Detail

MEDICARE: MS. ARCELIA PONCE LCSW

MEDICARE: MS. ARCELIA PONCE LCSW
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 Worker24567CA

General Provider Information

NPI Number : 1851423156
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ARCELIA PONCE LCSW
Provider Business Mailing Address
First Line : PO BOX 1724
Second Line :
City : MONTEBELLO
State : CA
Zip : 90640
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6001 CLARA ST
Second Line :
City : BELL GARDENS
State : CA
Zip : 90201-4723
Country : US
Telephone Number : 562-806-5000
Fax Number : 562-806-9395
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 08/21/2013

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