Individual provider · Type 1 NPI
Mariela Celeste Ventocilla
Adult Medicine Physician · Twentynine Palms, CA
NPI number
1972846756
Active
Practice location
1145 Sturgis Road
Twentynine Palms, CA 92277
Mailing address
3101 Upshur Ave Apt C
Twentynine Palms, CA 92277-9482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider | 171000000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Adult Medicine Physician Primary | 207QA0505X | 010127041 (VA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
About NPI 1972846756
Mariela Celeste Ventocilla's National Provider Identifier is 1972846756, issued on Mar 31, 2013. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Twentynine Palms, CA. The record was last updated on Sep 23, 2022.