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NPI Code Detail

MEDICARE: YULIANA LOPEZ BEJARANO

MEDICARE:   YULIANA  LOPEZ BEJARANO
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
1101YM0800XMental Health Counselor102468CA
2225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1851887418
Entity Type Code : Individual
Provider Name (Legal Business Name) : YULIANA LOPEZ BEJARANO
Provider Business Mailing Address
First Line : 470 E 3RD ST STE C
Second Line :
City : LOS ANGELES
State : CA
Zip : 90013-1630
Country : US
Telephone Number : 213-620-5712
Fax Number :
Provider Business Practice Location Address
First Line : 470 E 3RD ST STE C
Second Line :
City : LOS ANGELES
State : CA
Zip : 90013-1630
Country : US
Telephone Number : 213-620-5712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2018
Last Update Date : 05/07/2026

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Directions to “ YULIANA LOPEZ BEJARANO ” Practice Location

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