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Individual

EDTNA BOGARIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5110 W GOLDLEAF CIR, LOS ANGELES, CA 90056-1282
(213) 407-5598
Mailing address
5110 W GOLDLEAF CIR FL 2, LOS ANGELES, CA 90056-1282
(213) 407-5598

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
69143
CA
171M00000X
Case Manager/Care Coordinator
CA
172V00000X
Community Health Worker
225400000X
Rehabilitation Practitioner
Primary
CA

Other

Enumeration date
07/12/2012
Last updated
04/16/2025
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