Norma Amezcua

Individual provider Active NPI Case Manager/Care Coordinator · Lynwood, CA

NPI 1417207333 · NPPES record last updated Sep 25, 2012

Key facts

NPI
1417207333
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2620 Industry Way
Lynwood, CA 90262-4024
Phone
(310) 667-4070
NPI assigned
Sep 18, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

2620 Industry Way
Lynwood, CA 90262-4024

Mailing address

2620 Industry Way
Lynwood, CA 90262-4024
Phone (310) 667-4070

Other providers in Lynwood, CA

All providers in Lynwood, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.