Provider Demographics
NPI:1124482658
Name:FIGUEROA, GIOVANNI
Entity type:Individual
Prefix:
First Name:GIOVANNI
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 W SANTA ANA BLVD STE 510
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-4511
Mailing Address - Country:US
Mailing Address - Phone:714-796-0066
Mailing Address - Fax:714-834-4303
Practice Address - Street 1:600 W SANTA ANA BLVD STE 510
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4511
Practice Address - Country:US
Practice Address - Phone:714-796-0066
Practice Address - Fax:714-834-4303
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7420Medicaid
CA6758Medicaid
CA7068Medicaid