MEDICARE: ANAHISA AGUIRRE VERDUGO

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	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1083390702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANAHISA AGUIRRE VERDUGO

Provider Business Mailing Address
First Line	:	35470 WHITEWOOD RD
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92563-2415
Country	:	US
Telephone Number	:	323-314-4796
Fax Number	:

Provider Business Practice Location Address
First Line	:	35470 WHITEWOOD RD
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92563-2415
Country	:	US
Telephone Number	:	951-246-6500
Fax Number	:

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

Provider Enumeration Date	:	06/26/2023
Last Update Date	:	06/26/2023

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Directions to “ ANAHISA AGUIRRE VERDUGO ” Practice Location

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