MR. DENNIS BOCANEGRA


Address: 1501 W Baker Ave, Fullerton, CA 92833-4519
Phone: 8182690650

MR. DENNIS BOCANEGRA (NPI# 1275747453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275747453
Entity Type Individual
Full Name MR. DENNIS BOCANEGRA
Practice Address 1501 W Baker Ave
Fullerton
CA 92833-4519
Practice Telephone 8182690650
Enumeration Date 2007-05-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 1501 W BAKER AVE
City FULLERTON
State CA
Zip Code 92833-4519

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City FULLERTON
Zip Code 92833

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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