Larry Richard Ozaeta II
NPI #1548069354 in Banning, California
Provider Information
- NPI Number
- 1548069354
- Entity Type
- Individual
- Name
- Larry Richard Ozaeta II
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Mar 12, 2025
- Last Updated
- Mar 12, 2025
Practice Location
- Address
- 43250 MIDNIGHT CT
- City
- Banning
- State
- California
- ZIP Code
- 92220-9565
- Phone
- (951) 922-1725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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