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NPI Code Detail

MEDICARE: OSWALDO OCHOA

MEDICARE: OSWALDO OCHOA
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
1103K00000XBehavior Analyst1095265

General Provider Information

NPI Number : 1609111707
Entity Type Code : Individual
Provider Name (Legal Business Name) : OSWALDO OCHOA
Provider Business Mailing Address
First Line : 701 W KIMBERLY AVE STE 125
Second Line :
City : PLACENTIA
State : CA
Zip : 92870-6346
Country : US
Telephone Number : 714-224-1409
Fax Number : 714-716-4433
Provider Business Practice Location Address
First Line : 701 W KIMBERLY AVE STE 125
Second Line :
City : PLACENTIA
State : CA
Zip : 92870-6346
Country : US
Telephone Number : 714-224-1409
Fax Number : 714-716-4433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2012
Last Update Date : 08/23/2021

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Directions to “ OSWALDO OCHOA ” Practice Location

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