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NPI Code Detail

MEDICARE: ORTENCIA M TREVINO

MEDICARE: ORTENCIA M TREVINO
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
1171M00000XCase Manager/Care CoordinatorCA

General Provider Information

NPI Number : 1124985585
Entity Type Code : Individual
Provider Name (Legal Business Name) : ORTENCIA M TREVINO
Provider Business Mailing Address
First Line : 3729 S BOLLINGER ST
Second Line :
City : VISALIA
State : CA
Zip : 93277-5108
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1627 S GARDEN ST
Second Line :
City : VISALIA
State : CA
Zip : 93277-4949
Country : US
Telephone Number : 559-908-0724
Fax Number : 559-908-0724
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “ ORTENCIA M TREVINO ” 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.

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