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NPI Code Detail

MEDICARE: SWETA JULIETTE TY

MEDICARE: SWETA JULIETTE TY
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
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1740115476
Entity Type Code : Individual
Provider Name (Legal Business Name) : SWETA JULIETTE TY
Provider Business Mailing Address
First Line : 5870 ARLINGTON AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-2037
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2220 GIRARD ST
Second Line :
City : SAN JACINTO
State : CA
Zip : 92583-5301
Country : US
Telephone Number : 951-683-6596
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ SWETA JULIETTE TY ” Practice Location

Language Start Address Practice Location
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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