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NPI Code Detail

MEDICARE: JESSICA ESTRADA MADRID

MEDICARE: JESSICA ESTRADA MADRID
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 WorkerLCSW127779CA
2104100000XSocial Worker72600CA

General Provider Information

NPI Number : 1891170403
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ESTRADA MADRID
Provider Business Mailing Address
First Line : 8836 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90044-4832
Country : US
Telephone Number : 323-593-5300
Fax Number :
Provider Business Practice Location Address
First Line : 8836 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90044-4832
Country : US
Telephone Number : 323-593-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2015
Last Update Date : 04/10/2026

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Directions to “ JESSICA ESTRADA MADRID ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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