Carlo Dominic Floreza Medina in Costa Mesa - Clinical
Carlo Dominic Floreza Medina - NPI 1619096351
Carlo Dominic Floreza Medina is a Clinical in Costa Mesa, California. Carlo Dominic Floreza Medina practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carlo Dominic Floreza Medina is 1619096351. The last update date is 2020-03-13.
Carlo Dominic Floreza Medina's current location address is 301 Victoria St, Costa Mesa, California. You can contact this provider via phone number 9495743364. The mailing address for Carlo Dominic Floreza Medina is 301 Victoria St, Costa Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carlo Dominic Floreza Medina |
|---|---|
| Address | 301 Victoria St, Costa Mesa, California |
| Phone Number | 9495743364 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1619096351 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2020-03-13 |
Provider Mailing Address Detail
| Address | 301 Victoria St |
|---|---|
| City | Costa Mesa |
| State | California (CA) |
| Post Code | 926271995 |
| Phone Number | 9495743364 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ASW81799 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Carlo Dominic Floreza Medina by the Centers for Medicare & Medicaid Services (CMS)?
The Carlo Dominic Floreza Medina has been assigned the NPI (National Provider Identifier) 1619096351. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Carlo Dominic Floreza Medina located?
The Carlo Dominic Floreza Medina is located at 301 Victoria St, Costa Mesa, CA 926271995.
What is Carlo Dominic Floreza Medina's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carlo Dominic Floreza Medina's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Carlo Dominic Floreza Medina receive its 1619096351 assignment from the Centers for Medicare & Medicaid Services?
The Carlo Dominic Floreza Medina was assigned its 1619096351 by the Centers for Medicare & Medicaid Services on 2007-03-27.
As of what date were the Carlo Dominic Floreza Medina's details last updated?
The information pertaining to the Carlo Dominic Floreza Medina, including its address, specialty, and other details, was most recently updated on 2020-03-13.
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