Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ILIANNE BANUELOS
Active Sole ProprietorILIANNE BANUELOS is a Community/Behavioral Health healthcare provider located in RIVERSIDE, California. NPI 1568970424 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · RIVERSIDE, CA
Registration Details
- NPI Number
- 1568970424
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2018 (8.3982698049671 yrs)
- Last Updated
- Jan 12, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
1650 SPRUCE ST STE 250RIVERSIDE, CA, 925077429Browse CA providers · Browse ZIP 92507
- Phone
- 7608157772
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in RIVERSIDE, CA
| Name | Credential | NPI |
|---|---|---|
| JAMES SANTISTEBAN | — | 1710421722 |
| ASHLEY LANE RIVERO | BS | 1689197667 |
| JONES NTEKIM | PSYCHOLOGICAL ASST. | 1568973170 |
| CADENCE P LONEY | — | 1245748193 |
| BRENDAN SOTO | — | 1669980421 |
| SANDRA S GONZALEZ - PEREZ | — | 1538668397 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.