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NPI Code Detail

MEDICARE: ERIC LIMAS R1520170823

MEDICARE: ERIC LIMAS R1520170823
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
1101YA0400XAddiction (Substance Use Disorder) CounselorR1520170823CA

General Provider Information

NPI Number : 1902604804
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC LIMAS R1520170823
Provider Business Mailing Address
First Line : 1901 E AMAR RD APT 147
Second Line :
City : WEST COVINA
State : CA
Zip : 91792-1718
Country : US
Telephone Number : 213-281-3634
Fax Number :
Provider Business Practice Location Address
First Line : 2521 LONG BEACH AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90058-1324
Country : US
Telephone Number : 323-263-6642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2025
Last Update Date : 03/05/2025

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Directions to “ ERIC LIMAS R1520170823” Practice Location

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