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NPI Code Detail

MEDICARE: MS. LIVIER ESMERALDA SANDOVAL LCSW

MEDICARE: MS. LIVIER ESMERALDA SANDOVAL 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 Worker76105CA

General Provider Information

NPI Number : 1851436711
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LIVIER ESMERALDA SANDOVAL LCSW
Provider Business Mailing Address
First Line : 307 WINDING LN
Second Line :
City : BREA
State : CA
Zip : 92821-4527
Country : US
Telephone Number : 714-315-1589
Fax Number :
Provider Business Practice Location Address
First Line : 649 E ALBERTONI ST STE 100
Second Line :
City : CARSON
State : CA
Zip : 90746-1538
Country : US
Telephone Number : 310-436-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 02/12/2021

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Directions to “ MS. LIVIER ESMERALDA SANDOVAL LCSW” Practice Location

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