Healthcare Provider Details

I. General information

NPI: 1902733678
Provider Name (Legal Business Name): MONICA RUBI OCHOA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10994 WILLOW LN
ADELANTO CA
92301-3670
US

IV. Provider business mailing address

10994 WILLOW LN
ADELANTO CA
92301-3670
US

V. Phone/Fax

Practice location:
  • Phone: 909-301-3312
  • Fax:
Mailing address:
  • Phone: 909-301-3312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberD7848008
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: