Provider Information for 1326466822
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MARIO A HERRERA LMFT
Sex: Male
NPI: 1326466822
Last Updated: 2024-02-05
Certification Date: 2024-02-05
Certification Date: 2024-02-05
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1326466822 | ||||||||
| Enumeration Date | 2014-04-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4000 W METROPOLITAN DR STE 401 ORANGE, CA 92868-3506 United States Phone: 714-795-9379 | Fax: | ||||||||
| Primary Practice Address | 4000 W METROPOLITAN DR STE 401 ORANGE, CA 92868-3506 United States Phone: 714-795-9379 | Fax: | ||||||||
| Secondary Practice Address(es) | 1303 W WALNUT PKWY | ||||||||
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