Provider Demographics
NPI:1851573042
Name:MUNOZ, REBECCA GLADYS (BS)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:GLADYS
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 S ANAHEIM BLVD STE 241
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-2961
Mailing Address - Country:US
Mailing Address - Phone:714-517-1900
Mailing Address - Fax:714-517-6995
Practice Address - Street 1:50 S ANAHEIM BLVD STE 241
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-2961
Practice Address - Country:US
Practice Address - Phone:714-517-1900
Practice Address - Fax:714-517-6995
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator