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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARRO BIJAN KENNEBRUEW

Active

CHARRO BIJAN KENNEBRUEW is a Licensed Genetic Counselor healthcare provider located in LYNWOOD, California. NPI 1063053684 is currently active in the NPPES registry. Verify at CMS.

Licensed Genetic Counselor · LYNWOOD, CA

Registration Details

NPI Number
1063053684
Provider Type
Individual
Gender
Female
NPI Issued
Oct 4, 2019 (6.8784958983418 yrs)
Last Updated
Jan 5, 2022
Licenses
APCC7330 (CA)
37712 (CA)

Practice Information

Address
2640 INDUSTRY WAY
LYNWOOD, CA, 902624284
Browse CA providers · Browse ZIP 90262
Phone
3106274525
Primary Specialty
Licensed Genetic Counselor
167G00000X
Additional Specialty
Marriage & Family Therapist
Additional Specialty
Case Manager
Additional Specialty
Licensed Genetic Counselor
Additional Specialty
Clinical Social Worker

Other Licensed Genetic Counselor Providers in LYNWOOD, CA

Name Credential NPI
GERALDINO REYES FELICIANO 1245678325
WILLIAM WADE MIDDLETON LPT/PET CLINICIAN 1922488923
VIVIAN SUZANNE LABBAD LPT 1134662166
TANISHA ANDREA RHODES 1396241899
KAYLIN S FLOYD 1114670858
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.