=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881407286
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PIERRE ANGELI MILLON RINKER COTA/L
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/29/2025
-----------------------------------------------------
Last Update Date | 11/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 27762 ANTONIO PKWY STE L1-203
-----------------------------------------------------
City | LADERA RANCH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92694-1140
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-288-4242
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 27762 ANTONIO PKWY STE L1203
-----------------------------------------------------
City | LADERA RANCH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92694-1140
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-288-4242
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 224Z00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapy Assistant
-----------------------------------------------------
License Number | 349857
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------