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NPI Code Detail

MEDICARE: ANGELA MARIE RINCON

MEDICARE:   ANGELA MARIE RINCON
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
1106H00000XMarriage & Family Therapist121466CA

General Provider Information

NPI Number : 1003345281
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MARIE RINCON
Provider Business Mailing Address
First Line : 10315 SILVERBERRY ST
Second Line :
City : APPLE VALLEY
State : CA
Zip : 92308-3320
Country : US
Telephone Number : 760-209-6185
Fax Number :
Provider Business Practice Location Address
First Line : 12555 NAVAJO RD
Second Line :
City : APPLE VALLEY
State : CA
Zip : 92308-7256
Country : US
Telephone Number : 760-247-8001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2017
Last Update Date : 10/06/2025

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Directions to “ ANGELA MARIE RINCON ” Practice Location

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