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Provider Information for 1184215444


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LIZA SAFFO-MOTT LCSW


Sex: Female

NPI: 1184215444
Last Updated: 2024-10-29
Certification Date: 2024-10-29

Details

NameValue
NPI1184215444
Enumeration Date2021-01-29
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 14224 RIVERSIDE DR APT 1
SHERMAN OAKS, CA 91423-2376
United States

Phone: 917-580-1996 | Fax:
 
Primary Practice Address 21550 OXNARD ST STE 200
WOODLAND HILLS, CA 91367-7108
United States

Phone: 855-701-7955 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
SOAP URL
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Carequality
Health Information Exchange (HIE) C-CDA Southern California Permanente Medical Group 5601 De Soto Ave
Woodland Hills, CA 91367-6701
United States
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalCA106315