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NPI Code Detail

MEDICARE: VIVIANA VEGA

MEDICARE: VIVIANA VEGA
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 Technician

General Provider Information

NPI Number : 1356919815
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVIANA VEGA
Provider Business Mailing Address
First Line : 11822 MUSGRAVE RD
Second Line :
City : OAK HILLS
State : CA
Zip : 92344-9424
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9390 HESPERIA RD STE 2
Second Line :
City : HESPERIA
State : CA
Zip : 92345-3636
Country : US
Telephone Number : 760-992-3039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2021
Last Update Date : 11/05/2024

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Directions to “ VIVIANA VEGA ” 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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