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NPI Code Detail

MEDICARE: DR. ANA VICTORIA VIVAS ROSAS OTR/L

MEDICARE: DR. ANA VICTORIA VIVAS ROSAS OTR/L
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
1225XH1200XHand Occupational Therapist28553CA

General Provider Information

NPI Number : 1023951399
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANA VICTORIA VIVAS ROSAS OTR/L
Provider Business Mailing Address
First Line : 11695 PAMPUS DR
Second Line :
City : JURUPA VALLEY
State : CA
Zip : 91752-3042
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9405 FAIRWAY VIEW PL
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-0932
Country : US
Telephone Number : 909-481-7345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ DR. ANA VICTORIA VIVAS ROSAS OTR/L” Practice Location

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