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NPI Code Detail

MEDICARE: GIA RENELL ROSS BI

MEDICARE: GIA RENELL ROSS BI
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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1639024540
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIA RENELL ROSS BI
Provider Business Mailing Address
First Line : 4688 ONTARIO MILLS PKWY
Second Line :
City : ONTARIO
State : CA
Zip : 91764-5104
Country : US
Telephone Number : 714-834-1111
Fax Number :
Provider Business Practice Location Address
First Line : 4688 ONTARIO MILLS PKWY
Second Line :
City : ONTARIO
State : CA
Zip : 91764-5104
Country : US
Telephone Number : 714-834-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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