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NPI Code Detail

MEDICARE: MS. CRISTINA BRIANNA VARGAS

MEDICARE: MS. CRISTINA BRIANNA VARGAS
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
1106H00000XMarriage & Family Therapist161866CA

General Provider Information

NPI Number : 1295450955
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CRISTINA BRIANNA VARGAS
Provider Business Mailing Address
First Line : 1330 E COOLEY DR
Second Line :
City : COLTON
State : CA
Zip : 92324-3905
Country : US
Telephone Number : 909-580-3705
Fax Number :
Provider Business Practice Location Address
First Line : 1330 E COOLEY DR
Second Line :
City : COLTON
State : CA
Zip : 92324-3905
Country : US
Telephone Number : 909-580-3705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2022
Last Update Date : 05/06/2026

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Directions to “ MS. CRISTINA BRIANNA VARGAS ” Practice Location

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