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NPI Code Detail

MEDICARE: MR. ISSAC RENE CONTRERAS

MEDICARE: MR. ISSAC RENE CONTRERAS
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
1101Y00000XCounselorCA

General Provider Information

NPI Number : 1275491839
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ISSAC RENE CONTRERAS
Provider Business Mailing Address
First Line : 3626 GAY WAY
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-3510
Country : US
Telephone Number : 951-295-6281
Fax Number :
Provider Business Practice Location Address
First Line : 115 W ALLEN AVE
Second Line :
City : SAN DIMAS
State : CA
Zip : 91773-1437
Country : US
Telephone Number : 909-526-9499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ MR. ISSAC RENE CONTRERAS ” Practice Location

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