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NPI Code Detail

MEDICARE: ANGELINA MARIA DE LA PAZ

MEDICARE: ANGELINA MARIA DE LA PAZ
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
1101Y00000XCounselor
2172V00000XCommunity Health Worker
3373H00000XDay Training/Habilitation SpecialistCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11902023906OTHERCAAOD COUNSELOR

General Provider Information

NPI Number : 1902023906
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELINA MARIA DE LA PAZ
Provider Business Mailing Address
First Line : 2550 W CLINTON AVE BLDG W
Second Line :
City : FRESNO
State : CA
Zip : 93705-4206
Country : US
Telephone Number : 559-264-7521
Fax Number :
Provider Business Practice Location Address
First Line : 2549 W SHAW AVE
Second Line :
City : FRESNO
State : CA
Zip : 93711-3308
Country : US
Telephone Number : 559-321-6003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 05/28/2025

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Directions to “ ANGELINA MARIA DE LA PAZ ” 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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