Individual
JUAN CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3125 N BROADWAY, LOS ANGELES, CA 90031-2703
(213) 482-6400
Mailing address
3125 N BROADWAY, LOS ANGELES, CA 90031-2703
(213) 482-6400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512013461
—
CA
Enumeration date
12/12/2006
Last updated
06/03/2025
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