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NPI Code Detail

MEDICARE: MESSINA FOTINOS

MEDICARE: MESSINA FOTINOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2390200000XStudent in an Organized Health Care Education/Training Program
3390200000XStudent in an Organized Health Care Education/Training ProgramCA
4174400000XSpecialist

General Provider Information

NPI Number : 1205545977
Entity Type Code : Individual
Provider Name (Legal Business Name) : MESSINA FOTINOS
Provider Business Mailing Address
First Line : 4610 X ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2200
Country : US
Telephone Number : 916-816-2361
Fax Number :
Provider Business Practice Location Address
First Line : 4610 X ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2200
Country : US
Telephone Number : 916-816-2361
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2022
Last Update Date : 05/19/2026

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Directions to “ MESSINA FOTINOS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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