MEDICARE: NATALIE ELENA SAN GIL

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
1	225XP0200X	Pediatric Occupational Therapist	9299	CA

General Provider Information

NPI Number	:	1023950896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE ELENA SAN GIL

Provider Business Mailing Address
First Line	:	12248 SAN ANTONIO AVE
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710-2852
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12248 SAN ANTONIO AVE
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710-2852
Country	:	US
Telephone Number	:	714-272-2178
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ NATALIE ELENA SAN GIL ” Practice Location

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