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General NPI Number Information
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NPI Number | 1437374378
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Entity Type | Individual
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Provider Name | MAYAH BELORO
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 03/29/2008
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Provider Practice Location Address
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Address Line | 14566 SEVENTH ST
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City | VICTORVILLE
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State | CA
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Zip | 92395-4214
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Country | US
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Telephone | 760-843-0895
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Fax | 760-843-0894
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Provider Business Mailing Address
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Address Line | 24 HAMMOND STE C
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City | IRVINE
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State | CA
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Zip | 92618-1680
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Country | US
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Telephone | 949-770-6022
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Fax | 949-770-7084
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT 1160
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License Number State | CA
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