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NPI Code Detail

MEDICARE: JOAN MCMULLEN LANDON

MEDICARE: JOAN MCMULLEN LANDON
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 TherapistMFC35093CA

General Provider Information

NPI Number : 1962529982
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN MCMULLEN LANDON
Provider Business Mailing Address
First Line : 1911 WILLIAMS DR STE 110
Second Line :
City : OXNARD
State : CA
Zip : 93036-2665
Country : US
Telephone Number : 805-981-4200
Fax Number :
Provider Business Practice Location Address
First Line : 1911 WILLIAMS DR STE 110
Second Line :
City : OXNARD
State : CA
Zip : 93036-2665
Country : US
Telephone Number : 805-981-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 07/08/2007

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Practice Location Address:
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1962528083 — MRS. JULIO DIAZ HERNANDEZ
Practice Location Address:
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Directions to “ JOAN MCMULLEN LANDON ” Practice Location

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