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NPI Code Detail

MEDICARE: GABRIELLA PINATO

MEDICARE: GABRIELLA PINATO
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
1106S00000XBehavior TechnicianMI

General Provider Information

NPI Number : 1104353564
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLA PINATO
Provider Business Mailing Address
First Line : 3845 POLK ST APT 117
Second Line :
City : RIVERSIDE
State : CA
Zip : 92505-1786
Country : US
Telephone Number : 385-333-6035
Fax Number :
Provider Business Practice Location Address
First Line : 1650 SPRUCE ST STE 250
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-7429
Country : US
Telephone Number : 760-815-7772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2017
Last Update Date : 03/27/2020

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Directions to “ GABRIELLA PINATO ” Practice Location

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