Tyyeesha Zha Vette Asiseh
Rehabilitation Practitioner in Moreno Valley, CA. Individual provider (NPI-1).
NPI number1679728752
StatusActive
Last updated in NPPESNov 17, 2008
Details
- NPI
- 1679728752
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tyyeesha Zha Vette Asiseh
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 17, 2008
- Last updated
- Nov 17, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
13800 Heacock StMoreno Valley, CA 92553-3339
Phone 951-653-8951
Mailing address
2655 Shadow Hills Dr Apt 47San Bernardino, CA 92407-2201
Phone 909-965-9003
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 Rehabilitation Practitioner providers in Moreno Valley · All 3,435 providers in Moreno Valley
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