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NPI Code Detail

MEDICARE: DEVANNY MICHELLE VEGA

MEDICARE: DEVANNY MICHELLE VEGA
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 : 1699607911
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVANNY MICHELLE VEGA
Provider Business Mailing Address
First Line : 1455 N MULBERRY AVE
Second Line :
City : RIALTO
State : CA
Zip : 92376-2921
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7422 GARVEY AVE UNIT 204
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-2974
Country : US
Telephone Number : 626-531-6999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ DEVANNY MICHELLE VEGA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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