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Provider Information for 1447810106


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NATALIE LOERA


Sex: Female

NPI: 1447810106
Last Updated: 2022-03-09
Certification Date: 2022-03-09

Details

NameValue
NPI1447810106
Enumeration Date2019-06-15
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 902 S MYRTLE AVE
MONROVIA, CA 91016-3427
United States

Phone: | Fax:
 
Primary Practice Address 902 S MYRTLE AVE
MONROVIA, CA 91016-3427
United States

Phone: 626-357-3258 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental Health
No 101YM0800X - Counselor - Mental HealthCA89925
No 104100000X - Social Worker
No 225400000X - Rehabilitation Practitioner
Yes 1041C0700X - Social Worker - ClinicalCA107211