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NPI Code Detail

MEDICARE: MARGARET MCCALLUM

MEDICARE: MARGARET MCCALLUM
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
1106H00000XMarriage & Family TherapistAMFT139610CA

General Provider Information

NPI Number : 1932892577
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET MCCALLUM
Provider Business Mailing Address
First Line : 12424 WILSHIRE BLVD STE 650
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-1081
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12424 WILSHIRE BLVD STE 650
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-1081
Country : US
Telephone Number : 314-808-2148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2023
Last Update Date : 05/30/2023

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Directions to “ MARGARET MCCALLUM ” Practice Location

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