DEZIRAE MARIE VILLAGOMEZ


Address: 4255 W 182nd St Apt J, Torrance, CA 90504-4648
Phone: 3105316170

DEZIRAE MARIE VILLAGOMEZ (NPI# 1477188746) 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) 1477188746
Entity Type Individual
Full Name DEZIRAE MARIE VILLAGOMEZ
Credential MS
Practice Address 4255 W 182nd St Apt J
Torrance
CA 90504-4648
Practice Telephone 3105316170
Mailing Telephone 3105316170
Enumeration Date 2020-03-07
Last Update Date 2020-03-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 4255 W 182ND ST APT J
City TORRANCE
State CA
Zip Code 90504-4648

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568075018 Diane Weyman Counselor 4480 Emerald St, Torrance, CA 90503-3027 2020-08-25
1497386338 Susan Horvat Counselor 3838 W Carson St Ste 333, Torrance, CA 90503-6710 2020-01-29
1700362936 Dr Julie Gray Lightedpathways Psychology Inc Counselor 18411 Crenshaw Blvd Ste 260, Torrance, CA 90504-5054 2018-07-11
1780179614 Bianca Ramirez-leon Counselor 19401 S Vermont Ave # A-20, Torrance, CA 90502-1029 2018-06-23
1992218853 Latasha Mitchell Counselor 23860 Hawthorne Blvd Ste 200, Torrance, CA 90505-8201 2017-11-14
1912417999 Wellspring of Life Counseling Center, Inc. Counselor 2008 West Carson Street, Suite 105, Torrance, CA 90501 2017-10-04
1871036277 Elizabeth Gonzalez Counselor 19401 S Vermont Ave # L102, Torrance, CA 90502-1029 2016-12-02
1740739283 Fumie Yoshikawa Counselor 1306 W Carson St Apt 125, Torrance, CA 90501-3993 2016-09-26
1811444946 Enoc Elias Counselor 1000 W Carson St, Box 498, Torrance, CA 90509 2016-09-07
1790230225 Sofiya Sargsyan Counselor 21732 S Vermont Ave Fl 2, Torrance, CA 90502-2179 2016-08-25
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Competitor

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City TORRANCE
Zip Code 90504

Improve Information

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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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