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NPI Code Detail

MEDICARE: MONICA PONCE

MEDICARE: MONICA PONCE
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
1374700000XTechnician
2225400000XRehabilitation Practitioner
3104100000XSocial WorkerASW69248CA

General Provider Information

NPI Number : 1487817557
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA PONCE
Provider Business Mailing Address
First Line : 9950 MINA AVE
Second Line :
City : WHITTIER
State : CA
Zip : 90605-3037
Country : US
Telephone Number : 562-706-1976
Fax Number :
Provider Business Practice Location Address
First Line : 9451 INDIANAPOLIS AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646-5955
Country : US
Telephone Number : 714-593-1859
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2008
Last Update Date : 12/19/2016

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Directions to “ MONICA PONCE ” Practice Location

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