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NPI Code Detail

MEDICARE: PATRICIA MARIA MARTINELLI VARGAS

MEDICARE: PATRICIA MARIA MARTINELLI VARGAS
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 Technician

General Provider Information

NPI Number : 1841740008
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA MARIA MARTINELLI VARGAS
Provider Business Mailing Address
First Line : 9920 PACIFIC HEIGHTS BLVD STE 150
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-4361
Country : US
Telephone Number : 970-373-8324
Fax Number :
Provider Business Practice Location Address
First Line : 9920 PACIFIC HEIGHTS BLVD STE 150
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-4361
Country : US
Telephone Number : 970-373-8324
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2016
Last Update Date : 10/12/2020

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Directions to “ PATRICIA MARIA MARTINELLI VARGAS ” 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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