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NPI Code Detail

MEDICARE: MARILU ESTEVEZ

MEDICARE: MARILU ESTEVEZ
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1902287790
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILU ESTEVEZ
Provider Business Mailing Address
First Line : 6131 ALBANY ST
Second Line :
City : HUNTINGTON PARK
State : CA
Zip : 90255-3505
Country : US
Telephone Number : 323-621-1326
Fax Number :
Provider Business Practice Location Address
First Line : 10929 SOUTH ST STE 208B
Second Line :
City : CERRITOS
State : CA
Zip : 90703-5391
Country : US
Telephone Number : 562-924-5526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2015
Last Update Date : 03/23/2018

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Directions to “ MARILU ESTEVEZ ” Practice Location

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