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NPI Code Detail

MEDICARE: ARIEZ RENTERIA

MEDICARE: ARIEZ RENTERIA
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
1363AM0700XMedical Physician AssistantCA

General Provider Information

NPI Number : 1417892274
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIEZ RENTERIA
Provider Business Mailing Address
First Line : 2180 VALLEY BLVD
Second Line :
City : POMONA
State : CA
Zip : 91768-3325
Country : US
Telephone Number : 909-865-2336
Fax Number :
Provider Business Practice Location Address
First Line : 2180 VALLEY BLVD
Second Line :
City : POMONA
State : CA
Zip : 91768-3325
Country : US
Telephone Number : 909-865-2336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “ ARIEZ RENTERIA ” Practice Location

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