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NPI Code Detail

MEDICARE: GERALDINE VANESSA PRIETO

MEDICARE:   GERALDINE VANESSA PRIETO
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
1103K00000XBehavior AnalystCA

General Provider Information

NPI Number : 1063975217
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALDINE VANESSA PRIETO
Provider Business Mailing Address
First Line : 913 N HELIOTROPE DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90029-2523
Country : US
Telephone Number : 323-445-1385
Fax Number :
Provider Business Practice Location Address
First Line : 13920 CITY CENTER DR STE 290
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-5444
Country : US
Telephone Number : 855-773-6753
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2019
Last Update Date : 04/12/2019

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Directions to “ GERALDINE VANESSA PRIETO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.