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NPI Code Detail

MEDICARE: MARIA RINCON

MEDICARE: MARIA RINCON
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
1374700000XTechnician
2225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1679738496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA RINCON
Provider Business Mailing Address
First Line : 758 W CENTER ST
Second Line :
City : POMONA
State : CA
Zip : 91768-3503
Country : US
Telephone Number : 626-691-1209
Fax Number :
Provider Business Practice Location Address
First Line : 1126 N GRAND AVE STE D
Second Line :
City : COVINA
State : CA
Zip : 91724-1552
Country : US
Telephone Number : 626-967-1667
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2008
Last Update Date : 07/25/2008

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Directions to “ MARIA RINCON ” Practice Location

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