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 |
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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 |
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Provider Enumeration Date | 2007-07-02 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1011 Baldwin Park Blvd |
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City | Baldwin Park |
State | California (CA) |
Post Code | 917065806 |
Phone Number | 6268511011 |
Fax Number | 6264056768 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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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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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.