Provider Demographics
NPI:1679454508
Name:JUA GROUP LLC
Entity type:Organization
Organization Name:JUA GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:U
Authorized Official - Last Name:AQUINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-309-0541
Mailing Address - Street 1:27124 SILVER OAK LN APT 1215
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91387-8143
Mailing Address - Country:US
Mailing Address - Phone:415-649-6262
Mailing Address - Fax:888-254-7344
Practice Address - Street 1:27124 SILVER OAK LN APT 1215
Practice Address - Street 2:
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91387-8143
Practice Address - Country:US
Practice Address - Phone:415-649-6262
Practice Address - Fax:888-254-7344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management