Staci L Raygoza in Fountain Valley - Occupational Therapy Assistant
Staci L Raygoza - NPI 1043431950
Staci L Raygoza is a Occupational Therapy Assistant in Fountain Valley, California. Staci L Raygoza practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Staci L Raygoza is 1043431950. The last update date is 2007-07-08.
Staci L Raygoza's current location address is 17318 San Luis St.. #3, Fountain Valley, California. You can contact this provider via phone number 7149633770. The mailing address for Staci L Raygoza is 17318 San Luis St.. #3, Fountain Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Staci L Raygoza |
|---|---|
| Address | 17318 San Luis St.. #3, Fountain Valley, California |
| Phone Number | 7149633770 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | COTA |
NPI Number Detail
| NPI Number | 1043431950 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17318 San Luis St.. #3 |
|---|---|
| City | Fountain Valley |
| State | California (CA) |
| Post Code | 92708 |
| Phone Number | 7149633770 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | OTA 1233 |
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Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Staci L Raygoza by the Centers for Medicare & Medicaid Services?
The Staci L Raygoza has been assigned the NPI (National Provider Identifier) 1043431950 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Staci L Raygoza's facilities are geographically located?
The facilities of Staci L Raygoza are physically situated at the following location: 17318 San Luis St.. #3, Fountain Valley, CA, 92708.
What is the Staci L Raygoza's area of specialization and corresponding taxonomy classification?
The Staci L Raygoza's specialty field is Occupational Therapy Assistant, and it falls under the taxonomy code 224Z00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043431950 to Staci L Raygoza?
The Centers for Medicare & Medicaid Services originally issued the 1043431950 to Staci L Raygoza on 2007-05-01.
As of what date was the information regarding Staci L Raygoza, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Staci L Raygoza, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.