Juan Jose Pena is a Clinical in Gardena, California. Juan Jose Pena practices all healthcare services and medical treatments related to Clinical. The NPI Number for Juan Jose Pena is 1295922870. The last update date is 2018-07-31.
Juan Jose Pena's current location address is 108 W Victoria St, Gardena, California. You can contact this provider via phone number 3107152020. The mailing address for Juan Jose Pena is 108 W Victoria St, Gardena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juan Jose Pena |
|---|---|
| Address | 108 W Victoria St, Gardena, California |
| Phone Number | 3107152020 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1295922870 |
|---|---|
| Provider Enumeration Date | 2007-09-27 |
| Last Updated Date | 2018-07-31 |
Provider Mailing Address Detail
| Address | 108 W Victoria St |
|---|---|
| City | Gardena |
| State | California (CA) |
| Post Code | 902483523 |
| Phone Number | 3107152020 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW 59897 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Juan Jose Pena by the Centers for Medicare & Medicaid Services?
The Juan Jose Pena has been issued the NPI (National Provider Identifier) 1295922870 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Juan Jose Pena?
The Juan Jose Pena is physically situated at 108 W Victoria St, in the city of Gardena, state of CA, with the postal code 902483523.
What is the area of specialization for Juan Jose Pena, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Juan Jose Pena is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295922870 to Juan Jose Pena?
The Juan Jose Pena received its 1295922870 assignment from the Centers for Medicare & Medicaid Services on 2007-09-27.
As of what date was the information pertaining to Juan Jose Pena, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Juan Jose Pena, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-07-31.
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