| Goiaba Group Llc | |
|
25000 Avenue Stanford Ste 141 Valencia CA 91355-4594 | |
| (951) 966-3438 | |
| Not Available |
| Full Name | Goiaba Group Llc |
|---|---|
| Speciality | Developmental Therapist |
| Location | 25000 Avenue Stanford Ste 141, Valencia, California |
| Authorized Official Name and Position | Suely Cristina Johns (EXECUTIVE DIRECTOR/OWNER) |
| Authorized Official Contact | 9519663438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goiaba Group Llc 25539 Via Paladar Valencia CA 91355-3153 Ph: (951) 966-3438 | Goiaba Group Llc 25000 Avenue Stanford Ste 141 Valencia CA 91355-4594 Ph: (951) 966-3438 |
| NPI Number | 1740800390 |
|---|---|
| Provider Enumeration Date | 04/23/2020 |
| Last Update Date | 04/23/2020 |
| Certification Date | 04/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740800390 | NPI | - | NPPES |
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