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NPI Code Detail

MEDICARE: SANDY LAGINA RICKS

MEDICARE: SANDY LAGINA RICKS
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
1225400000XRehabilitation PractitionerCA

General Provider Information

NPI Number : 1558482653
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDY LAGINA RICKS
Provider Business Mailing Address
First Line : 3625 14TH ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-3815
Country : US
Telephone Number : 951-955-1540
Fax Number :
Provider Business Practice Location Address
First Line : 3625 14TH ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-3815
Country : US
Telephone Number : 951-955-7540
Fax Number : 951-955-1610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 03/18/2025

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Directions to “ SANDY LAGINA RICKS ” Practice Location

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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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