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NPI Code Detail

MEDICARE: ARIEL SAMONTE

MEDICARE: ARIEL SAMONTE
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
1225X00000XOccupational Therapist13238CA

General Provider Information

NPI Number : 1538648050
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIEL SAMONTE
Provider Business Mailing Address
First Line : 5581 E HOMECOMING CIR APT A
Second Line :
City : MIRA LOMA
State : CA
Zip : 91752
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9440 CITRUS AVE
Second Line :
City : FONTANA
State : CA
Zip : 92335-5512
Country : US
Telephone Number : 909-823-3481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2018
Last Update Date : 08/07/2018

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Directions to “ ARIEL SAMONTE ” Practice Location

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