MR. VICTOR CANDELA JR. (NPI# 1851921134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851921134 |
Entity Type | Individual |
Full Name | MR. VICTOR CANDELA JR. |
Credential | CATC-1 |
Practice Address |
1655 E 6th St Ste B6 Corona CA 92879-1719 |
Practice Telephone | 9512543767 |
Mailing Telephone | 9512543767 |
Enumeration Date | 2020-01-25 |
Last Update Date | 2020-02-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
197550-I | CA | Behavioral Health & Social Service Providers |
Street Address |
1655 E 6TH ST STE B6 |
City | CORONA |
State | CA |
Zip Code | 92879-1719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
Find all providers in zip 92879 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952928509 | Eric Lee Silva | Counselor | 1623 S Lincoln Ave, Corona, CA 92882-3911 | 2020-06-30 |
1063952307 | Wendy Catalina Villafana | Counselor | 9609 40th Rd, Corona, NY 11368-2138 | 2017-03-06 |
1720436546 | Tammy Fogle | Counselor | 245 N Lincoln Ave, Corona, CA 92882-1851 | 2016-06-02 |
1073956330 | Gloria Quaid | Counselor | 2178 Devonshire Dr, Corona, CA 92879-3162 | 2013-04-16 |
1285997783 | Shresia Deon Fontenot-kenney | Counselor | 1064 Riverbend Cir, Corona, CA 92881-8685 | 2012-06-19 |
1891984126 | Lloyd Alan Wager | Counselor | 370 West Grand Blvd Ste 104, Corona, CA 92882 | 2007-10-23 |
1972797819 | April Kimberly Moore | Counselor | 710 Rimpau Ave Ste 102, Corona, CA 92879-5724 | 2007-09-04 |
1386834745 | Deneen Leo Watson | Counselor | 615 Robin Ct, Corona, CA 92879-3138 | 2007-07-31 |
1740335330 | Evelyn Sosa | Counselor | 109 E 11th St, Corona, CA 92879-2157 | 2007-01-24 |
1588215842 | Ryan Thomas Barker | Counselor | 109 E 11th St, Corona, CA 92879-2157 | 2019-09-26 |
Find all providers in CORONA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.