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NPI Code Detail

MEDICARE: MRS. KAZUMI CRYSTAL SAITO LCSW

MEDICARE: MRS. KAZUMI CRYSTAL SAITO LCSW
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
11041C0700XClinical Social WorkerLCS19463CA

General Provider Information

NPI Number : 1982864120
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAZUMI CRYSTAL SAITO LCSW
Provider Business Mailing Address
First Line : 3329 GRANVILLE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-2019
Country : US
Telephone Number : 310-636-4619
Fax Number :
Provider Business Practice Location Address
First Line : 3329 GRANVILLE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-2019
Country : US
Telephone Number : 310-636-4619
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2008
Last Update Date : 06/11/2008

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Directions to “ MRS. KAZUMI CRYSTAL SAITO LCSW” Practice Location

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