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NPI Code Detail

MEDICARE: VERMONTCARE CENTER

MEDICARE: VERMONTCARE CENTER
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
1177F00000XLodging Provider

General Provider Information

NPI Number : 1881188662
Entity Type Code : Organization
Provider Name (Legal Business Name) : VERMONTCARE CENTER
Provider Business Mailing Address
First Line : 1316 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90006-4502
Country : US
Telephone Number : 213-384-1682
Fax Number :
Provider Business Practice Location Address
First Line : 1316 S VERMONT
Second Line :
City : LOS ANGELES
State : CA
Zip : 90006-4502
Country : US
Telephone Number : 213-384-1682
Fax Number :
Authorized Official
Title or Position : CEO
Name : MARIA M BARRIOS
Credential :
Telephone Number : 213-384-1682
Provider Enumeration Date : 06/15/2018
Last Update Date : 08/16/2021

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Directions to “VERMONTCARE CENTER ” Practice Location

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