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NPI Code Detail

MEDICARE: DIEGO DE OYAGUE

MEDICARE: DIEGO DE OYAGUE
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 : 1417893926
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIEGO DE OYAGUE
Provider Business Mailing Address
First Line : 1151 DOVE ST STE 140
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2837
Country : US
Telephone Number : 657-294-5113
Fax Number :
Provider Business Practice Location Address
First Line : 1151 DOVE ST STE 140
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2837
Country : US
Telephone Number : 657-294-5113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/27/2026

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Directions to “ DIEGO DE OYAGUE ” Practice Location

Language Start Address Practice Location
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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