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NPI Code Detail

MEDICARE: MISS YESENIA TALAVERA M.A.

MEDICARE: MISS YESENIA TALAVERA M.A.
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
1106H00000XMarriage & Family Therapist105111CA

General Provider Information

NPI Number : 1508127879
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS YESENIA TALAVERA M.A.
Provider Business Mailing Address
First Line : 511 N BROOKHURST ST STE 200
Second Line :
City : ANAHEIM
State : CA
Zip : 92801-5229
Country : US
Telephone Number : 714-780-0750
Fax Number : 714-780-0757
Provider Business Practice Location Address
First Line : 3950 REYNOLDS RD
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3517
Country : US
Telephone Number : 951-358-4466
Fax Number : 951-543-4359
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2012
Last Update Date : 03/04/2024

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Directions to “ MISS YESENIA TALAVERA M.A.” Practice Location

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