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NPI Code Detail

MEDICARE: RAMONA RENEE YOUNG LCSW

MEDICARE:   RAMONA RENEE YOUNG  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 Worker29682CA

General Provider Information

NPI Number : 1881727451
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMONA RENEE YOUNG LCSW
Provider Business Mailing Address
First Line : PO BOX 28
Second Line :
City : LOS ANGELES
State : CA
Zip : 90078-0028
Country : US
Telephone Number : 310-751-1171
Fax Number :
Provider Business Practice Location Address
First Line : 12099 W. WASHINGTON BLVD. SUITE 200
Second Line :
City : CULVER CITY
State : CA
Zip : 90066
Country : US
Telephone Number : 310-751-1171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 07/17/2013

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Directions to “ RAMONA RENEE YOUNG LCSW” Practice Location

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