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NPI Code Detail

MEDICARE: MS. PAULINA OSPINA-MALLARINO LCSW

MEDICARE: MS. PAULINA OSPINA-MALLARINO 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 Worker26260CA

General Provider Information

NPI Number : 1992971022
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAULINA OSPINA-MALLARINO LCSW
Provider Business Mailing Address
First Line : 276 ALPINE ST APT 4
Second Line :
City : PASADENA
State : CA
Zip : 91106-4713
Country : US
Telephone Number : 760-832-2752
Fax Number :
Provider Business Practice Location Address
First Line : 595 E COLORADO BLVD STE 205
Second Line :
City : PASADENA
State : CA
Zip : 91101-2028
Country : US
Telephone Number : 760-832-2752
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2008
Last Update Date : 02/26/2025

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