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Individual
DR. MARIPOSA MCCALL
Active
Individual
DR. MARIPOSA MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A75636
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FQHC 05-1063
MEDICARE PART A
CA
01
—
FQHC ZZZ29799Z
MEDICARE PART B
CA
Enumeration date
10/31/2006
Last updated
01/18/2019
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