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NPI Code Detail

MEDICARE: MAIA CUBOS OTD

MEDICARE: MAIA CUBOS OTD
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
1225XM0800XMental Health Occupational Therapist14598CA
2373H00000XDay Training/Habilitation Specialist14598CA
3225X00000XOccupational Therapist14598CA

General Provider Information

NPI Number : 1427531599
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAIA CUBOS OTD
Provider Business Mailing Address
First Line : 2650 E FOOTHILL BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91107-3439
Country : US
Telephone Number : 626-577-2261
Fax Number :
Provider Business Practice Location Address
First Line : 2650 E FOOTHILL BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91107-3439
Country : US
Telephone Number : 626-577-2261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2018
Last Update Date : 01/05/2026

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Directions to “ MAIA CUBOS OTD” Practice Location

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