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NPI Code Detail

MEDICARE: DINNIELLE ELIZABETH SARAVIA

MEDICARE:   DINNIELLE ELIZABETH SARAVIA
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
1174400000XSpecialist12644CA
2225400000XRehabilitation PractitionerCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112644OTHERCACASI

General Provider Information

NPI Number : 1578974366
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINNIELLE ELIZABETH SARAVIA
Provider Business Mailing Address
First Line : 2844 COLOMA ST
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-4406
Country : US
Telephone Number : 530-642-1715
Fax Number : 530-642-2064
Provider Business Practice Location Address
First Line : 2844 COLOMA ST
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-4406
Country : US
Telephone Number : 530-642-1715
Fax Number : 530-642-2064
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2014
Last Update Date : 05/15/2026

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Directions to “ DINNIELLE ELIZABETH SARAVIA ” Practice Location

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