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NPI Code Detail

MEDICARE: MRS. CHRISTINE ELIZABETH KHAWAJA LCSW

MEDICARE: MRS. CHRISTINE ELIZABETH KHAWAJA 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 WorkerLCS28352CA
2104100000XSocial Worker

General Provider Information

NPI Number : 1871680116
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE ELIZABETH KHAWAJA LCSW
Provider Business Mailing Address
First Line : 17800 WOODRUFF AVE
Second Line :
City : BELLFLOWER
State : CA
Zip : 90706-7079
Country : US
Telephone Number : 310-944-1530
Fax Number :
Provider Business Practice Location Address
First Line : 17800 WOODRUFF AVE
Second Line :
City : BELLFLOWER
State : CA
Zip : 90706-7079
Country : US
Telephone Number : 310-944-1530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 10/02/2017

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