Individual provider · Type 1 NPI

Larry Richard Ozaeta Ii

Peer Specialist · Banning, CA

NPI number 1548069354 Active

Practice location

43250 Midnight Ct
Banning, CA 92220-9565

Call (951) 922-1725 Map

Mailing address

5870 Arlington Ave
Riverside, CA 92504-2037

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-LESYGV (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1548069354

Larry Richard Ozaeta Ii's National Provider Identifier is 1548069354, issued on Mar 12, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Banning, CA. The record was last updated on Mar 12, 2025.