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NPI Code Detail

MEDICARE: MRS. ISABEL C NIETO M.S

MEDICARE: MRS. ISABEL C NIETO M.S
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 Technician

General Provider Information

NPI Number : 1659675759
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ISABEL C NIETO M.S
Provider Business Mailing Address
First Line : 1055 E COLORADO BLVD STE 560
Second Line :
City : PASADENA
State : CA
Zip : 91106-2380
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1055 E COLORADO BLVD STE 560
Second Line :
City : PASADENA
State : CA
Zip : 91106-2380
Country : US
Telephone Number : 855-295-3276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2011
Last Update Date : 06/13/2019

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Directions to “ MRS. ISABEL C NIETO M.S” Practice Location

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