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NPI Code Detail

MEDICARE: VANESSA KIRA IORIATTI YAMBOT M.S.

MEDICARE: VANESSA KIRA IORIATTI YAMBOT 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
1106H00000XMarriage & Family TherapistIMF 59703CA

General Provider Information

NPI Number : 1669615431
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA KIRA IORIATTI YAMBOT M.S.
Provider Business Mailing Address
First Line : 14390 PLEASANT HILL DR
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-4828
Country : US
Telephone Number : 909-576-2175
Fax Number :
Provider Business Practice Location Address
First Line : 2000 TYLER AVE
Second Line :
City : EL MONTE
State : CA
Zip : 91733-3543
Country : US
Telephone Number : 626-442-1400
Fax Number : 626-442-1144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2009
Last Update Date : 03/04/2010

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