Granados, Johanna Magaly

Granados, Johanna Magaly is an individual health care provider with primary practice located at 2720 S Bristol St Ste 200 , Santa Ana CA 92704-6207. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Granados, Johanna Magaly can be contacted via phone (714) 426-5127.

Contact Information

Primary practice address
2720 S Bristol St Ste 200 Santa Ana CA 92704-6207
Phone: (714) 426-5127
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1831668037
LBN Legal business name Granados, Johanna Magaly
Credentials BACHELORS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2018
Last updated Nov 16th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831668037 NPPES
California MEDICAID 952810095

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