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NPI Code Detail

MEDICARE: TAMARA SAKILE WULBRECHT

MEDICARE: TAMARA SAKILE WULBRECHT
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 Worker135631
2101YM0800XMental Health Counselor135631CA

General Provider Information

NPI Number : 1992322150
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA SAKILE WULBRECHT
Provider Business Mailing Address
First Line : 333 S BEAUDRY AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1466
Country : US
Telephone Number : 213-241-3841
Fax Number : 213-241-3841
Provider Business Practice Location Address
First Line : 333 S BEAUDRY AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1466
Country : US
Telephone Number : 213-241-3841
Fax Number : 213-241-3841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2020
Last Update Date : 01/05/2026

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Directions to “ TAMARA SAKILE WULBRECHT ” Practice Location

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