| Frausto Family Licensed Clinical Social Worker, Pc | |
|
608 S Mayo Ave Compton CA 90221-3912 | |
| (323) 491-8433 | |
| Not Available |
| Full Name | Frausto Family Licensed Clinical Social Worker, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 608 S Mayo Ave, Compton, California |
| Authorized Official Name and Position | Steven Frausto (CEO) |
| Authorized Official Contact | 3234918433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frausto Family Licensed Clinical Social Worker, Pc 608 S Mayo Ave Compton CA 90221-3912 Ph: (323) 491-8433 | Frausto Family Licensed Clinical Social Worker, Pc 608 S Mayo Ave Compton CA 90221-3912 Ph: (323) 491-8433 |
| NPI Number | 1982293486 |
|---|---|
| Provider Enumeration Date | 01/11/2021 |
| Last Update Date | 01/11/2021 |
| Certification Date | 01/11/2021 |
| Medicare PECOS PAC ID | 4183092109 |
|---|---|
| Medicare Enrollment ID | O20221123001501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982293486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Steven Frausto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003103581 PECOS PAC ID: 5092183012 Enrollment ID: I20221123001577 |
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