MEDICARE: DR. ANTONELLA B ALUZRI PSYCHOLOGIST

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
1	103TC0700X	Clinical Psychologist	PSY 18462	CA

General Provider Information

NPI Number	:	1992972624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTONELLA B ALUZRI PSYCHOLOGIST

Provider Business Mailing Address
First Line	:	6511 E WALKERTON ST
Second Line	:	6511 E WALKERTON ST.
City	:	LONG BEACH
State	:	CA
Zip	:	90808-2423
Country	:	US
Telephone Number	:	310-713-5342
Fax Number	:

Provider Business Practice Location Address
First Line	:	6511 E WALKERTON ST
Second Line	:	6511 E WALKERTON ST.
City	:	LONG BEACH
State	:	CA
Zip	:	90808-2423
Country	:	US
Telephone Number	:	310-713-5342
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2008
Last Update Date	:	05/12/2008

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