Louis Fernando Vizcarrondo in Antioch - Clinical
Louis Fernando Vizcarrondo - NPI 1093877318
Louis Fernando Vizcarrondo is a Clinical in Antioch, California. Louis Fernando Vizcarrondo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Louis Fernando Vizcarrondo is 1093877318. The last update date is 2007-07-08.
Louis Fernando Vizcarrondo's current location address is 3501 Lone Tree Way, Antioch, California. You can contact this provider via phone number 9254278664 and fax number 9254278645. The mailing address for Louis Fernando Vizcarrondo is 3501 Lone Tree Way, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Louis Fernando Vizcarrondo |
|---|---|
| Address | 3501 Lone Tree Way, Antioch, California |
| Phone Number | 9254278664 |
| Fax Number | 9254278645 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1093877318 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3501 Lone Tree Way |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945096066 |
| Phone Number | 9254278664 |
| Fax Number | 9254278645 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 Louis Fernando Vizcarrondo's unique identification number?
The Louis Fernando Vizcarrondo has been assigned the NPI (National Provider Identifier) Number 1093877318 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Louis Fernando Vizcarrondo?
The Louis Fernando Vizcarrondo is physically situated at 3501 Lone Tree Way, in the city of Antioch, state of CA, with the postal code 945096066.
What is Louis Fernando Vizcarrondo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Louis Fernando Vizcarrondo is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093877318 to Louis Fernando Vizcarrondo?
The Louis Fernando Vizcarrondo received its 1093877318 assignment from the Centers for Medicare & Medicaid Services on 2006-12-14.
When was the information pertaining to Louis Fernando Vizcarrondo most recently updated or revised?
The details related to Louis Fernando Vizcarrondo, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1528061793
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