Provider Information for 1760739221
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Mrs. MIRNA E BELTRAN LCSW
Sex: Female
NPI: 1760739221
Last Updated: 2021-02-23
Certification Date: 2021-02-23
Certification Date: 2021-02-23
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1760739221 | ||||||||||||
| Enumeration Date | 2012-08-14 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1426 PALOMA ST LOS ANGELES, CA 90021-2620 United States Phone: 323-917-8843 | Fax: | ||||||||||||
| Primary Practice Address | 8929 S SEPULVEDA BLVD STE 201 LOS ANGELES, CA 90045-3643 United States Phone: 213-375-8472 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 1426 PALOMA ST | ||||||||||||
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