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NPI Code Detail

MEDICARE: MS. ALEJANDRA DEPAZ MA

MEDICARE:  MS. ALEJANDRA  DEPAZ  MA
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 CounselorMC60201587WA
2101YM0800XMental Health CounselorCL60160819WA
3106H00000XMarriage & Family Therapist73124CA
4171M00000XCase Manager/Care Coordinator
5225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1871883827
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALEJANDRA DEPAZ MA
Provider Business Mailing Address
First Line : 3031 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-3033
Country : US
Telephone Number : 323-373-2400
Fax Number :
Provider Business Practice Location Address
First Line : 5054 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90037-2946
Country : US
Telephone Number : 323-373-2444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2011
Last Update Date : 04/15/2025

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