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NPI Code Detail

MEDICARE: DENISE VO

MEDICARE: DENISE VO
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 TechnicianRBT-15-02494CA

General Provider Information

NPI Number : 1851807861
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE VO
Provider Business Mailing Address
First Line : 8411 PEPPERWOOD CIR
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-6330
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1230 ROSECRANS AVE STE 250
Second Line :
City : MANHATTAN BEACH
State : CA
Zip : 90266-2496
Country : US
Telephone Number : 310-406-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2017
Last Update Date : 12/28/2017

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Directions to “ DENISE VO ” Practice Location

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