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NPI Code Detail

MEDICARE: RAMONA ARISTO

MEDICARE:   RAMONA  ARISTO
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
1101YA0400XAddiction (Substance Use Disorder) CounselorRII03280115CA

General Provider Information

NPI Number : 1710404207
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMONA ARISTO
Provider Business Mailing Address
First Line : 10125 ANNETTA AVE
Second Line :
City : SOUTH GATE
State : CA
Zip : 90280-6339
Country : US
Telephone Number : 323-500-7199
Fax Number :
Provider Business Practice Location Address
First Line : 600 W MANCHESTER AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90044-5770
Country : US
Telephone Number : 323-750-9247
Fax Number : 323-750-9248
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2017
Last Update Date : 08/24/2017

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Directions to “ RAMONA ARISTO ” Practice Location

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