Monique Acevedo
Individual provider Active NPI Mental Health Occupational Therapist · Ontario, CA
NPI 1831934256 · NPPES record last updated Aug 6, 2024
Key facts
- NPI
- 1831934256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Occupational Therapist 225XM0800X
- License
- 19318 (CA)
- Practice address
- 1420 S Milliken Ave
Ontario, CA 91761-2336 - Phone
- (909) 988-2418
- NPI assigned
- Jun 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19318 | CA | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 19318 | CA | |
| Mental Health Occupational Therapist |
225XM0800X | 19318 | CA | Yes |
Addresses
Primary practice location
1420 S Milliken Ave
Ontario, CA 91761-2336
Mailing address
1829 Denison St
Pomona, CA 91766-1053
Phone (909) 837-1723
Other providers in Ontario, CA
- Accentcare Health Management, Inc.
- Accuquest Hearing Centers LLC
- Ace Medical Transportation, LLC
- Acevedo Dental Corp
- Melanie Acevedo
- Yasmin Acevedo
- Cristina Aceves
- Kazaria Ackerman
- Bryana Acosta
- Enibey Acosta
All providers in Ontario, CA · Mental Health Occupational Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.