Jesus Barraza in Baldwin Park - Clinical

Jesus Barraza - NPI 1295932317

Jesus Barraza is a Clinical in Baldwin Park, California. Jesus Barraza practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jesus Barraza is 1295932317. The last update date is 2007-07-08.

Jesus Barraza's current location address is 1011 Baldwin Park Blvd, Baldwin Park, California. You can contact this provider via phone number 6268511011 and fax number 6264056768. The mailing address for Jesus Barraza is 1011 Baldwin Park Blvd, Baldwin Park, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jesus Barraza
Address 1011 Baldwin Park Blvd, Baldwin Park, California
Phone Number 6268511011
Fax Number 6264056768
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1295932317
Provider Enumeration Date 2007-07-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1011 Baldwin Park Blvd
City Baldwin Park
State California (CA)
Post Code 917065806
Phone Number 6268511011
Fax Number 6264056768

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No MFC41673
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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FAQs about Jesus Barraza

What is the unique 10-digit identification code assigned to Jesus Barraza by the Centers for Medicare & Medicaid Services?

The Jesus Barraza has been issued the NPI (National Provider Identifier) 1295932317, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jesus Barraza's facilities are geographically located?

The facilities of Jesus Barraza are physically situated at the following location: 1011 Baldwin Park Blvd, Baldwin Park, CA, 917065806.

What is Jesus Barraza's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jesus Barraza'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 Jesus Barraza receive its 1295932317 assignment from the Centers for Medicare & Medicaid Services?

The Jesus Barraza was assigned its 1295932317 by the Centers for Medicare & Medicaid Services on 2007-07-02.

As of what date were the Jesus Barraza's details last updated?

The information pertaining to the Jesus Barraza, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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