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NPI Code Detail

MEDICARE: OSCAR ARMANDO CARBAJAL AMFT

MEDICARE: OSCAR ARMANDO CARBAJAL AMFT
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
1390200000XStudent in an Organized Health Care Education/Training Program
2106H00000XMarriage & Family Therapist89518CA

General Provider Information

NPI Number : 1871966283
Entity Type Code : Individual
Provider Name (Legal Business Name) : OSCAR ARMANDO CARBAJAL AMFT
Provider Business Mailing Address
First Line : 6509 LARRY WAY
Second Line :
City : NORTH HIGHLANDS
State : CA
Zip : 95660-4011
Country : US
Telephone Number : 707-889-6374
Fax Number :
Provider Business Practice Location Address
First Line : 2829 WATT AVE STE 200
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-6245
Country : US
Telephone Number : 916-418-0828
Fax Number : 916-418-0838
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2015
Last Update Date : 03/27/2019

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Directions to “ OSCAR ARMANDO CARBAJAL AMFT” Practice Location

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